Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.65 / $7,838.38 / $7,838.38	Facility		$127.65	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $200.28 / $284.70	Professional		$117.26	$200.28	$284.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.44 / $509.65 / $853.79	Facility		$212.44	$509.65	$853.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $151.34 / $280.14	Professional		$90.80	$151.34	$280.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.06 / $235.11 / $380.45	Professional		$153.06	$235.11	$380.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $99.93 / $300.77	Professional		$32.34	$99.93	$300.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.51 / $134.69 / $263.80	Facility		$96.51	$134.69	$263.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.55 / $235.11 / $380.45	Professional		$150.55	$235.11	$380.45
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 $231.24 / $316.02 / $482.75	Professional		$231.24	$316.02	$482.75