Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.46 / $2,145.78 / $7,838.38	Facility		$173.46	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $166.05 / $326.36	Professional		$116.37	$166.05	$326.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.57 / $1,168.13 / $1,764.93	Facility		$318.57	$1,168.13	$1,764.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $210.23 / $262.69	Professional		$85.18	$210.23	$262.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.06 / $205.45 / $283.14	Professional		$151.06	$205.45	$283.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $150.69 / $267.08	Professional		$30.14	$150.69	$267.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $179.72 / $269.60	Facility		$132.44	$179.72	$269.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $228.54 / $312.32	Professional		$153.22	$228.54	$312.32
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 $169.18 / $240.10 / $318.50	Professional		$169.18	$240.10	$318.50