Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.18 / $2,145.78 / $7,838.38	Facility		$200.18	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $172.57 / $259.12	Professional		$71.61	$172.57	$259.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,349.23 / $3,236.81 / $5,153.80	Facility		$1,349.23	$3,236.81	$5,153.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $125.22 / $268.20	Professional		$79.90	$125.22	$268.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $749.86	Facility		$123.68	$123.68	$749.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $174.01 / $319.45	Professional		$88.28	$174.01	$319.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.08 / $263.54	Professional		$32.34	$50.08	$263.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $157.22 / $238.36	Facility		$67.44	$157.22	$238.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $201.88 / $391.08	Professional		$92.12	$201.88	$391.08
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 $181.03 / $236.52 / $337.98	Professional		$181.03	$236.52	$337.98