Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.72 / $2,145.78 / $7,838.38	Facility		$311.72	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.23 / $278.12 / $524.58	Professional		$182.23	$278.12	$524.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,508.42 / $6,017.73 / $10,081.29	Facility		$2,508.42	$6,017.73	$10,081.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $275.50 / $436.59	Professional		$135.91	$275.50	$436.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.64 / $332.54 / $497.32	Professional		$229.64	$332.54	$497.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $231.35 / $411.38	Professional		$32.34	$231.35	$411.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.93 / $223.91 / $376.71	Facility		$175.93	$223.91	$376.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.64 / $332.54 / $522.99	Professional		$229.64	$332.54	$522.99
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 $326.64 / $406.98 / $663.38	Professional		$326.64	$406.98	$663.38