Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.03 / $4,385.96 / $5,000.27	Facility		$136.03	$4,385.96	$5,000.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $224.11 / $376.02	Professional		$96.88	$224.11	$376.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.86 / $6,017.73 / $9,338.07	Facility		$1,737.86	$6,017.73	$9,338.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $211.84 / $313.69	Professional		$115.01	$211.84	$313.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.03 / $232.23 / $414.38	Professional		$134.03	$232.23	$414.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.12 / $321.62	Professional		$32.34	$36.12	$321.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $239.72 / $385.26	Facility		$138.04	$239.72	$385.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $246.21 / $471.71	Professional		$139.68	$246.21	$471.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,503.00 / $5,262.00	Facility		$3,085.00	$3,503.00	$5,262.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $361.50 / $557.99	Professional		$260.27	$361.50	$557.99