Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.89 / $7,838.38 / $8,763.29	Facility		$420.89	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.70 / $374.68 / $627.40	Professional		$248.70	$374.68	$627.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.57 / $1,168.13 / $1,903.46	Facility		$318.57	$1,168.13	$1,903.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.07 / $341.78 / $577.38	Professional		$205.07	$341.78	$577.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.99 / $454.82 / $681.25	Professional		$322.99	$454.82	$681.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $216.31 / $632.30	Professional		$32.34	$216.31	$632.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.99 / $411.65 / $660.26	Facility		$261.99	$411.65	$660.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $494.18 / $806.73	Professional		$327.60	$494.18	$806.73
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 $467.41 / $629.66 / $795.60	Professional		$467.41	$629.66	$795.60