Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.91 / $2,145.78 / $7,838.38	Facility		$174.91	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $143.74 / $251.52	Professional		$67.56	$143.74	$251.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.40 / $1,085.31 / $1,818.18	Facility		$452.40	$1,085.31	$1,818.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $151.47 / $327.52	Professional		$83.57	$151.47	$327.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $168.04 / $298.85	Professional		$92.38	$168.04	$298.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $134.83 / $247.19	Professional		$32.34	$134.83	$247.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.75 / $212.99 / $274.31	Facility		$82.75	$212.99	$274.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $181.15 / $298.85	Professional		$89.41	$181.15	$298.85
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 $208.38 / $253.23 / $362.07	Professional		$208.38	$253.23	$362.07