Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.04 / $1,211.58 / $7,838.38	Facility		$459.04	$1,211.58	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $187.09 / $328.39	Professional		$132.90	$187.09	$328.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.86 / $1,231.81 / $1,909.36	Facility		$499.86	$1,231.81	$1,909.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $169.63 / $281.67	Professional		$94.85	$169.63	$281.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.06 / $147.06 / $229.43	Facility		$147.06	$147.06	$229.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $229.03 / $336.51	Professional		$155.02	$229.03	$336.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $54.07 / $288.58	Professional		$32.34	$54.07	$288.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.77 / $186.58 / $255.39	Facility		$133.77	$186.58	$255.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $257.68 / $413.28	Professional		$161.76	$257.68	$413.28
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 $196.56 / $273.00 / $406.83	Professional		$196.56	$273.00	$406.83