Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.31 / $5,000.27 / $7,838.38	Facility		$281.31	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.07 / $249.54 / $364.51	Professional		$161.07	$249.54	$364.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,508.42 / $6,181.55 / $10,081.29	Facility		$2,508.42	$6,181.55	$10,081.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $237.80 / $380.52	Professional		$120.17	$237.80	$380.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.49 / $198.49 / $271.49	Facility		$198.49	$198.49	$271.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.41 / $295.54 / $449.84	Professional		$201.41	$295.54	$449.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.81 / $376.17	Professional		$32.34	$69.81	$376.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.66 / $252.63 / $357.67	Facility		$161.66	$252.63	$357.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.16 / $332.81 / $554.63	Professional		$210.16	$332.81	$554.63
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.24 / $377.58 / $572.41	Professional		$262.24	$377.58	$572.41