Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.95 / $7,838.38 / $8,763.29	Facility		$360.95	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.78 / $288.11 / $528.98	Professional		$116.78	$288.11	$528.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.02 / $2,665.64 / $4,123.97	Facility		$1,112.02	$2,665.64	$4,123.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $208.75 / $436.22	Professional		$125.25	$208.75	$436.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.86 / $234.49 / $531.54	Professional		$141.86	$234.49	$531.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $251.21 / $437.33	Professional		$32.34	$251.21	$437.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $234.38 / $374.25	Facility		$126.73	$234.38	$374.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $234.49 / $552.89	Professional		$148.03	$234.49	$552.89
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 $326.00 / $449.88 / $704.70	Professional		$326.00	$449.88	$704.70