Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.99 / $5,000.27 / $7,838.38	Facility		$230.99	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.71 / $230.99 / $568.14	Professional		$147.71	$230.99	$568.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $227.44 / $332.74	Professional		$107.62	$227.44	$332.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.37 / $247.80 / $373.40	Professional		$163.37	$247.80	$373.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $192.10 / $354.02	Professional		$32.34	$192.10	$354.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.66 / $226.01 / $368.16	Facility		$143.66	$226.01	$368.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.70 / $268.04 / $424.56	Professional		$178.70	$268.04	$424.56
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 $235.13 / $339.66 / $432.91	Professional		$235.13	$339.66	$432.91