Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.38 / $2,095.00 / $7,838.38	Facility		$144.38	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $201.50 / $383.06	Professional		$131.69	$201.50	$383.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.09 / $1,617.39 / $2,635.51	Facility		$441.09	$1,617.39	$2,635.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.55 / $198.77 / $327.23	Professional		$110.55	$198.77	$327.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.05 / $232.62 / $368.79	Professional		$153.05	$232.62	$368.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.08 / $309.02	Professional		$32.34	$37.08	$309.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.26 / $176.53 / $282.68	Facility		$101.26	$176.53	$282.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.71 / $254.69 / $419.91	Professional		$159.71	$254.69	$419.91
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $303.81 / $436.33	Professional		$208.12	$303.81	$436.33