Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.96 / $2,145.78 / $7,838.38	Facility		$234.96	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $201.53 / $302.86	Professional		$113.12	$201.53	$302.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,764.93 / $6,017.73 / $9,581.71	Facility		$1,764.93	$6,017.73	$9,581.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $172.51 / $312.06	Professional		$103.51	$172.51	$312.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $204.52 / $1,651.99	Facility		$204.52	$204.52	$1,651.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $215.20 / $370.52	Professional		$130.86	$215.20	$370.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $59.90 / $316.58	Professional		$32.34	$59.90	$316.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.93 / $201.73 / $283.45	Facility		$114.93	$201.73	$283.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $255.31 / $458.27	Professional		$135.91	$255.31	$458.27
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $14,184.26	Facility		$755.00	$3,085.00	$14,184.26
United Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $282.51 / $403.21	Professional		$213.28	$282.51	$403.21