Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.80 / $2,145.78 / $7,838.38	Facility		$189.80	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $178.59 / $471.59	Professional		$111.95	$178.59	$471.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.84 / $571.41 / $931.11	Facility		$155.84	$571.41	$931.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.22 / $145.65 / $272.39	Professional		$85.22	$145.65	$272.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $196.68 / $304.93	Professional		$129.66	$196.68	$304.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $105.80 / $289.10	Professional		$32.34	$105.80	$289.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.69 / $181.79 / $304.20	Facility		$115.69	$181.79	$304.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.62 / $220.17 / $350.14	Professional		$146.62	$220.17	$350.14
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 $191.93 / $277.95 / $354.25	Professional		$191.93	$277.95	$354.25