Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $245.47 / $7,762.47	Facility		$234.42	$245.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $851.14	Professional		$169.82	$218.78	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $288.40	Professional		$173.78	$204.17	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $323.59	Professional		$204.17	$288.40	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $645.65	Facility		$194.98	$269.15	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $323.59	Professional		$199.53	$269.15	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $36,307.81	Facility		$1,023.29	$15,135.61	$36,307.81
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $346.74	Professional		$194.98	$269.15	$346.74