Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.56 / $2,145.78 / $7,838.38	Facility		$194.56	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $194.56 / $412.10	Professional		$167.79	$194.56	$412.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $614.54 / $1,001.38	Facility		$167.59	$614.54	$1,001.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.22 / $232.01 / $252.59	Professional		$94.22	$232.01	$252.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.52 / $258.69 / $334.56	Professional		$165.52	$258.69	$334.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.26 / $277.18	Professional		$32.34	$33.26	$277.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.19 / $204.29 / $250.60	Facility		$179.19	$204.29	$250.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.19 / $274.75 / $468.12	Professional		$191.19	$274.75	$468.12
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 $182.75 / $264.58 / $382.49	Professional		$182.75	$264.58	$382.49