Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.17 / $5,000.27 / $7,838.38	Facility		$396.17	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.59 / $322.75 / $547.80	Professional		$210.59	$322.75	$547.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,189.73 / $7,310.68 / $11,721.56	Facility		$2,189.73	$7,310.68	$11,721.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $393.45 / $580.12	Professional		$190.49	$393.45	$580.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.45 / $410.16 / $604.95	Professional		$277.45	$410.16	$604.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $291.89 / $518.88	Professional		$32.34	$291.89	$518.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.75 / $381.40 / $510.29	Facility		$253.75	$381.40	$510.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.45 / $410.16 / $636.26	Professional		$277.45	$410.16	$636.26
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 $394.77 / $532.40 / $784.08	Professional		$394.77	$532.40	$784.08