Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.99 / $2,095.00 / $7,838.38	Facility		$260.99	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $226.75 / $593.42	Professional		$145.97	$226.75	$593.42
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 $100.36 / $200.71 / $346.54	Professional		$100.36	$200.71	$346.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $263.85 / $414.13	Professional		$163.15	$263.85	$414.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.96 / $387.42	Professional		$32.34	$92.96	$387.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $220.78 / $416.79	Facility		$128.30	$220.78	$416.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.92 / $280.60 / $437.98	Professional		$185.92	$280.60	$437.98
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 $227.48 / $351.83 / $466.04	Professional		$227.48	$351.83	$466.04