Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.95 / $5,000.27 / $7,838.38	Facility		$164.95	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.95 / $214.73 / $889.68	Professional		$164.95	$214.73	$889.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $502.06 / $818.10	Facility		$136.91	$502.06	$818.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.25 / $169.25 / $215.38	Professional		$169.25	$169.25	$215.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.04 / $243.03 / $324.04	Professional		$184.04	$243.03	$324.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.96 / $277.64	Professional		$32.34	$92.96	$277.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.47 / $330.91 / $454.04	Facility		$126.47	$330.91	$454.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.55 / $291.22 / $355.30	Professional		$186.55	$291.22	$355.30
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.08 / $317.47 / $473.22	Professional		$259.08	$317.47	$473.22