Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.71 / $2,145.78 / $7,838.38	Facility		$210.71	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $169.60 / $294.11	Professional		$146.55	$169.60	$294.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.96 / $2,024.66 / $3,391.84	Facility		$843.96	$2,024.66	$3,391.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $217.41 / $333.10	Professional		$118.61	$217.41	$333.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $274.88 / $326.82	Professional		$195.52	$274.88	$326.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $155.84 / $278.68	Professional		$32.34	$155.84	$278.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.64 / $196.06 / $213.11	Facility		$169.64	$196.06	$213.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.51 / $277.97 / $356.94	Professional		$196.51	$277.97	$356.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.31 / $290.39 / $427.67	Professional		$228.31	$290.39	$427.67