Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.84 / $5,000.27 / $7,838.38	Facility		$128.84	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $128.84 / $366.68	Professional		$66.37	$128.84	$366.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.78 / $1,645.60 / $2,474.39	Facility		$448.78	$1,645.60	$2,474.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $125.98 / $188.26	Professional		$75.59	$125.98	$188.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $113.07 / $210.69	Professional		$72.04	$113.07	$210.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $108.41 / $191.10	Professional		$21.68	$108.41	$191.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.47 / $109.04 / $196.33	Facility		$51.47	$109.04	$196.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $133.76 / $253.76	Professional		$74.75	$133.76	$253.76
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 $148.28 / $208.45 / $250.91	Professional		$148.28	$208.45	$250.91