Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $8,709.64	Facility		$181.97	$302.00	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $380.19	Professional		$117.49	$181.97	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,148.15 / $1,862.09	Facility		$457.09	$1,148.15	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $251.19	Professional		$165.96	$199.53	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $302.00	Professional		$162.18	$213.80	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $263.03	Professional		$32.36	$52.48	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $190.55 / $281.84	Facility		$134.90	$190.55	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $309.03	Professional		$158.49	$223.87	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $323.59	Professional		$162.18	$234.42	$323.59