Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.16 / $7,838.38 / $8,763.29	Facility		$170.16	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.51 / $159.40 / $570.21	Professional		$96.51	$159.40	$570.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.78 / $1,645.60 / $2,603.40	Facility		$448.78	$1,645.60	$2,603.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.17 / $163.62 / $255.96	Professional		$98.17	$163.62	$255.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $172.92 / $278.77	Professional		$111.83	$172.92	$278.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $147.40 / $261.04	Professional		$29.48	$147.40	$261.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $170.19 / $263.45	Facility		$91.02	$170.19	$263.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $201.91 / $339.77	Professional		$115.22	$201.91	$339.77
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 $200.56 / $274.68 / $440.03	Professional		$200.56	$274.68	$440.03