Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.88 / $2,145.78 / $7,838.38	Facility		$625.88	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $296.56 / $800.40	Professional		$178.71	$296.56	$800.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,709.45 / $4,212.64 / $6,870.27	Facility		$1,709.45	$4,212.64	$6,870.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.91 / $307.91 / $1,002.83	Facility		$307.91	$307.91	$1,002.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $379.65 / $986.79	Professional		$212.70	$379.65	$986.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $455.72 / $794.74	Professional		$32.34	$455.72	$794.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.42 / $468.80 / $800.40	Facility		$172.42	$468.80	$800.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.59 / $617.29 / $1,338.40	Professional		$240.59	$617.29	$1,338.40
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 $602.90 / $885.87 / $1,288.72	Professional		$602.90	$885.87	$1,288.72