Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.11 / $2,095.00 / $7,838.38	Facility		$160.11	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $260.94 / $500.60	Professional		$150.97	$260.94	$500.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.17 / $869.64 / $1,417.06	Facility		$237.17	$869.64	$1,417.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.63 / $240.27 / $399.46	Professional		$124.63	$240.27	$399.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.92 / $281.61 / $464.12	Professional		$179.92	$281.61	$464.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.36 / $394.73	Professional		$32.34	$47.36	$394.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $245.20 / $340.00	Facility		$161.82	$245.20	$340.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.55 / $305.24 / $537.80	Professional		$189.55	$305.24	$537.80
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 $270.66 / $373.86 / $571.97	Professional		$270.66	$373.86	$571.97