Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.79 / $7,838.38 / $8,763.29	Facility		$519.79	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.83 / $458.32 / $804.75	Professional		$337.83	$458.32	$804.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,133.80 / $18,389.97 / $28,536.83	Facility		$5,133.80	$18,389.97	$28,536.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.20 / $463.69 / $674.53	Professional		$278.20	$463.69	$674.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.02 / $598.69 / $875.02	Professional		$390.02	$598.69	$875.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $85.20 / $762.64	Professional		$32.34	$85.20	$762.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $535.70 / $781.00	Facility		$352.00	$535.70	$781.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.21 / $618.15 / $988.92	Professional		$406.21	$618.15	$988.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $15,131.00 / $21,396.00	Facility		$1,035.00	$15,131.00	$21,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.14 / $739.70 / $1,038.73	Professional		$582.14	$739.70	$1,038.73