Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.91 / $2,095.00 / $7,838.38	Facility		$502.91	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.47 / $451.04 / $750.21	Professional		$308.47	$451.04	$750.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,364.73 / $8,671.01 / $14,129.29	Facility		$2,364.73	$8,671.01	$14,129.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.89 / $444.43 / $699.62	Professional		$258.89	$444.43	$699.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.47 / $566.20 / $881.99	Professional		$377.47	$566.20	$881.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $671.48	Professional		$32.34	$32.34	$671.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.47 / $425.32 / $731.34	Facility		$308.47	$425.32	$731.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.84 / $619.75 / $965.65	Professional		$384.84	$619.75	$965.65
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $6,599.00 / $12,517.79	Facility		$639.00	$6,599.00	$12,517.79
United Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $743.60 / $1,158.30	Professional		$514.79	$743.60	$1,158.30