Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.94 / $2,095.00 / $7,838.38	Facility		$474.94	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.18 / $203.40 / $313.54	Professional		$127.18	$203.40	$313.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $643.88 / $1,544.67 / $2,587.73	Facility		$643.88	$1,544.67	$2,587.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $204.38 / $364.89	Professional		$117.25	$204.38	$364.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $252.14 / $396.89	Professional		$169.90	$252.14	$396.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $166.25 / $294.57	Professional		$32.34	$166.25	$294.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $240.29 / $321.52	Facility		$151.19	$240.29	$321.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $252.14 / $396.89	Professional		$169.90	$252.14	$396.89
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.21 / $310.75 / $442.26	Professional		$242.21	$310.75	$442.26