Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.84 / $2,095.00 / $7,838.38	Facility		$239.84	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $191.54 / $307.52	Professional		$56.10	$191.54	$307.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.11 / $2,735.94 / $4,245.52	Facility		$790.11	$2,735.94	$4,245.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $210.88 / $355.21	Professional		$67.92	$210.88	$355.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $171.30 / $401.01	Professional		$64.61	$171.30	$401.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.74 / $297.88	Professional		$32.34	$35.74	$297.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $127.50 / $386.04	Facility		$51.62	$127.50	$386.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $176.34 / $439.05	Professional		$68.33	$176.34	$439.05
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,503.00 / $5,060.00	Facility		$559.00	$3,503.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $361.90 / $558.52	Professional		$269.77	$361.90	$558.52