Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.87 / $2,145.78 / $7,838.38	Facility		$125.87	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.91 / $125.87 / $386.40	Professional		$112.91	$125.87	$386.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $196.46 / $298.48	Professional		$138.65	$196.46	$298.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $182.54 / $235.13	Professional		$111.14	$182.54	$235.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.98 / $169.93 / $203.91	Professional		$33.98	$169.93	$203.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.39 / $146.38 / $262.08	Facility		$107.39	$146.38	$262.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $182.54 / $223.32	Professional		$125.89	$182.54	$223.32
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $10,150.00	Facility		$790.00	$9,127.00	$10,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.18 / $188.10 / $292.31	Professional		$141.18	$188.10	$292.31