Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.87 / $1,805.78 / $7,838.38	Facility		$174.87	$1,805.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $461.90 / $1,653.65	Professional		$89.10	$461.90	$1,653.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.29 / $898.55 / $1,647.18	Professional		$107.29	$898.55	$1,647.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.31 / $173.27 / $2,121.78	Professional		$105.31	$173.27	$2,121.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,294.79	Professional		$32.34	$32.34	$1,294.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.09 / $693.74 / $2,149.75	Facility		$85.09	$693.74	$2,149.75
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,488.06 / $1,488.06 / $1,488.06	Facility	62	$1,488.06	$1,488.06	$1,488.06
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $380.94 / $380.94 / $380.94	Facility	80	$380.94	$380.94	$380.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $254.80 / $2,390.73	Professional		$107.96	$254.80	$2,390.73
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $301.24 / $403.29 / $472.51	Professional	80	$301.24	$403.29	$472.51
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $256.06 / $342.79 / $401.63	Professional	AS	$256.06	$342.79	$401.63
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.70 / $2,030.82 / $3,145.79	Professional		$1,393.70	$2,030.82	$3,145.79