Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.60 / $2,145.78 / $7,838.38	Facility		$176.60	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $165.18 / $307.39	Professional		$113.80	$165.18	$307.39
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 $80.52 / $144.19 / $256.89	Professional		$80.52	$144.19	$256.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.85 / $190.71 / $284.88	Professional		$125.85	$190.71	$284.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $151.58 / $270.08	Professional		$30.31	$151.58	$270.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.24 / $174.26 / $282.54	Facility		$112.24	$174.26	$282.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $205.93 / $325.74	Professional		$136.38	$205.93	$325.74
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 $186.62 / $258.06 / $328.89	Professional		$186.62	$258.06	$328.89