Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $7,762.47	Facility		$208.93	$295.12	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $389.05	Professional		$120.23	$169.82	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,174.90 / $1,862.09	Facility		$537.03	$1,174.90	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $208.93	Professional		$141.25	$169.82	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $281.84	Professional		$154.88	$204.17	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $251.19	Professional		$32.36	$50.12	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $186.21 / $269.15	Facility		$131.83	$186.21	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $288.40	Professional		$154.88	$213.80	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $1,778.28	Facility		$229.09	$1,148.15	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $295.12	Professional		$154.88	$218.78	$295.12