Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.45 / $5,000.27 / $7,838.38	Facility		$174.45	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $160.15 / $250.05	Professional		$33.75	$160.15	$250.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.26 / $2,229.94 / $3,449.91	Facility		$930.26	$2,229.94	$3,449.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $148.94 / $232.30	Professional		$39.88	$148.94	$232.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $67.52 / $271.74	Professional		$41.40	$67.52	$271.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $38.96 / $203.86	Professional		$23.37	$38.96	$203.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $178.92 / $254.87	Facility		$60.59	$178.92	$254.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $67.52 / $271.74	Professional		$41.40	$67.52	$271.74
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 $190.48 / $238.15 / $370.17	Professional		$190.48	$238.15	$370.17