Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $380.19 / $7,762.47	Facility		$104.71	$380.19	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $194.98 / $416.87	Professional		$70.79	$194.98	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,090.30 / $5,128.61	Facility		$562.34	$3,090.30	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $190.55 / $275.42	Professional		$87.10	$190.55	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $575.44	Facility		$123.03	$123.03	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $208.93 / $389.05	Professional		$87.10	$208.93	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $218.78 / $426.58	Facility		$75.86	$218.78	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $426.58	Professional		$89.13	$208.93	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $5,011.87	Facility		$562.34	$3,467.37	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $398.11	Professional		$91.20	$190.55	$398.11