Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.99 / $5,000.27 / $7,838.38	Facility		$457.99	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $397.78 / $560.41	Professional		$274.67	$397.78	$560.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,208.62 / $7,647.84 / $11,867.62	Facility		$2,208.62	$7,647.84	$11,867.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.49 / $489.03 / $770.03	Professional		$329.49	$489.03	$770.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $74.29 / $661.18	Professional		$32.34	$74.29	$661.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.61 / $412.58 / $585.62	Facility		$295.61	$412.58	$585.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.81 / $503.50 / $866.31	Professional		$330.81	$503.50	$866.31
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $6,599.00 / $8,422.00	Facility		$639.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.48 / $641.50 / $977.39	Professional		$465.48	$641.50	$977.39