Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.80 / $2,145.78 / $7,838.38	Facility		$287.80	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.74 / $265.50 / $689.74	Professional		$171.74	$265.50	$689.74
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 $135.41 / $255.02 / $423.66	Professional		$135.41	$255.02	$423.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.17 / $301.76 / $451.62	Professional		$201.17	$301.76	$451.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $213.17 / $373.87	Professional		$32.34	$213.17	$373.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.18 / $178.40 / $336.30	Facility		$112.18	$178.40	$336.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.21 / $301.76 / $485.60	Professional		$200.21	$301.76	$485.60
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 $293.50 / $369.81 / $601.01	Professional		$293.50	$369.81	$601.01