Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.43 / $2,145.78 / $7,838.38	Facility		$166.43	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $135.06 / $223.15	Professional		$63.84	$135.06	$223.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.02 / $2,667.74 / $4,469.18	Facility		$1,112.02	$2,667.74	$4,469.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $106.50 / $206.68	Professional		$63.90	$106.50	$206.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $140.08 / $260.20	Professional		$89.03	$140.08	$260.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $117.02 / $205.53	Professional		$32.34	$117.02	$205.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.58 / $116.96 / $183.75	Facility		$71.58	$116.96	$183.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.47 / $260.20	Professional		$81.28	$154.47	$260.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $201.50 / $326.43	Professional		$153.44	$201.50	$326.43