Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.15 / $2,145.78 / $7,838.38	Facility		$205.15	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $193.90 / $356.75	Professional		$132.11	$193.90	$356.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.93 / $1,037.45 / $1,690.51	Facility		$282.93	$1,037.45	$1,690.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $209.68 / $301.66	Professional		$94.53	$209.68	$301.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.74 / $220.89 / $331.01	Professional		$145.74	$220.89	$331.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $176.25 / $314.23	Professional		$32.34	$176.25	$314.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.79 / $203.15 / $327.89	Facility		$130.79	$203.15	$327.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $240.21 / $380.03	Professional		$160.13	$240.21	$380.03
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 $209.66 / $301.92 / $384.80	Professional		$209.66	$301.92	$384.80