Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $7,838.38 / $7,838.38	Facility		$120.22	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $188.86 / $308.20	Professional		$110.12	$188.86	$308.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.12 / $659.49 / $1,145.90	Facility		$234.12	$659.49	$1,145.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $168.07 / $271.47	Professional		$100.84	$168.07	$271.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $240.22 / $390.00	Professional		$151.77	$240.22	$390.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $134.12 / $292.08	Professional		$32.34	$134.12	$292.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.86 / $149.24 / $276.93	Facility		$100.86	$149.24	$276.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $240.22 / $390.00	Professional		$151.77	$240.22	$390.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.56 / $309.64 / $456.02	Professional		$222.56	$309.64	$456.02