Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.29 / $5,967.12 / $7,838.38	Facility		$542.29	$5,967.12	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $168.58 / $335.28	Professional		$87.98	$168.58	$335.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,764.93 / $4,941.51 / $7,868.12	Facility		$1,764.93	$4,941.51	$7,868.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $141.74 / $286.39	Professional		$82.85	$141.74	$286.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $171.40 / $579.87	Facility		$171.40	$171.40	$579.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $204.12 / $390.00	Professional		$113.97	$204.12	$390.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.25 / $346.39	Professional		$32.34	$65.25	$346.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $166.15 / $259.85	Facility		$90.50	$166.15	$259.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $252.92 / $508.48	Professional		$122.42	$252.92	$508.48
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $2,516.00 / $2,655.00	Facility		$525.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.18 / $294.16 / $494.53	Professional		$199.18	$294.16	$494.53