Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.53 / $1,381.40 / $7,838.38	Facility		$209.53	$1,381.40	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $145.72 / $330.06	Professional		$127.28	$145.72	$330.06
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 $143.05 / $175.51 / $264.83	Professional		$143.05	$175.51	$264.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $213.46 / $276.14	Professional		$146.19	$213.46	$276.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $209.68	Professional		$32.34	$32.34	$209.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.76 / $178.96 / $228.18	Facility		$129.76	$178.96	$228.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $228.18 / $355.24	Professional		$147.21	$228.18	$355.24
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 $165.64 / $217.49 / $342.07	Professional		$165.64	$217.49	$342.07