Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.28 / $5,000.27 / $7,838.38	Facility		$338.28	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.95 / $261.20 / $444.10	Professional		$171.95	$261.20	$444.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $220.90 / $395.94	Professional		$124.51	$220.90	$395.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.06 / $147.06 / $308.79	Facility		$147.06	$147.06	$308.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.51 / $322.04 / $505.94	Professional		$195.51	$322.04	$505.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $87.47 / $463.44	Professional		$32.34	$87.47	$463.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.62 / $261.20 / $356.06	Facility		$163.62	$261.20	$356.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.81 / $365.01 / $673.73	Professional		$211.81	$365.01	$673.73
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 $271.64 / $404.26 / $659.19	Professional		$271.64	$404.26	$659.19