Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.42 / $2,145.78 / $7,838.38	Facility		$204.42	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.88 / $165.68 / $264.93	Professional		$104.88	$165.68	$264.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.02 / $2,740.37 / $4,469.18	Facility		$1,112.02	$2,740.37	$4,469.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $145.96 / $262.49	Professional		$87.15	$145.96	$262.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.90 / $152.90 / $180.95	Facility		$152.90	$152.90	$180.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $189.32 / $314.02	Professional		$125.83	$189.32	$314.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.17 / $277.00	Professional		$32.34	$52.17	$277.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.88 / $169.94 / $229.01	Facility		$104.88	$169.94	$229.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.79 / $220.99 / $398.15	Professional		$129.79	$220.99	$398.15
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,158.00 / $1,327.00	Facility		$200.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $249.01 / $394.95	Professional		$180.00	$249.01	$394.95