Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.07 / $2,145.78 / $7,838.38	Facility		$258.07	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $219.28 / $388.10	Professional		$128.11	$219.28	$388.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.02 / $2,572.11 / $4,123.97	Facility		$1,112.02	$2,572.11	$4,123.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $221.41 / $341.73	Professional		$112.16	$221.41	$341.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $257.91 / $390.00	Professional		$171.94	$257.91	$390.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $180.75 / $320.38	Professional		$32.34	$180.75	$320.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $144.16 / $302.68	Facility		$75.22	$144.16	$302.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $257.91 / $418.58	Professional		$178.36	$257.91	$418.58
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 $256.14 / $333.27 / $500.57	Professional		$256.14	$333.27	$500.57