Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.91 / $5,000.27 / $7,838.38	Facility		$333.91	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $249.53 / $453.08	Professional		$137.07	$249.53	$453.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,748.05 / $6,592.61 / $11,044.38	Facility		$2,748.05	$6,592.61	$11,044.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.49 / $255.16 / $478.52	Professional		$167.49	$255.16	$478.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.97 / $285.12 / $468.00	Professional		$197.97	$285.12	$468.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $240.77 / $426.46	Professional		$32.34	$240.77	$426.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.54 / $157.54 / $278.66	Facility		$157.54	$157.54	$278.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.79 / $285.12 / $483.43	Professional		$175.79	$285.12	$483.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $5,060.00	Facility		$3,085.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.47 / $414.15 / $594.86	Professional		$342.47	$414.15	$594.86