Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.55 / $2,095.00 / $7,838.38	Facility		$421.55	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.26 / $483.18 / $684.42	Professional		$386.26	$483.18	$684.42
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 $282.98 / $511.00 / $871.17	Professional		$282.98	$511.00	$871.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.61 / $718.18 / $961.42	Professional		$456.61	$718.18	$961.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.25 / $610.48	Professional		$32.34	$73.25	$610.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.46 / $555.22 / $734.59	Facility		$381.46	$555.22	$734.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $496.49 / $752.52 / $1,038.33	Professional		$496.49	$752.52	$1,038.33
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 $533.20 / $698.89 / $1,078.80	Professional		$533.20	$698.89	$1,078.80