Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,047.13 / $7,762.47	Facility		$186.21	$1,047.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $257.04	Professional		$117.49	$144.54	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,258.93 / $2,041.74	Facility		$575.44	$1,258.93	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $281.84	Facility		$213.80	$213.80	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $257.04	Professional		$125.89	$173.78	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $295.12	Facility		$128.82	$169.82	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $281.84	Professional		$131.83	$181.97	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,096.48 / $1,905.46	Facility		$199.53	$1,096.48	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $263.03	Professional		$123.03	$177.83	$263.03