Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.70 / $2,145.78 / $7,838.38	Facility		$233.70	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $166.62 / $304.88	Professional		$99.60	$166.62	$304.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,498.24 / $8,620.78 / $14,059.36	Facility		$3,498.24	$8,620.78	$14,059.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $156.19 / $277.98	Professional		$84.77	$156.19	$277.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.14 / $170.14 / $192.17	Facility		$170.14	$170.14	$192.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $204.10 / $357.75	Professional		$130.50	$204.10	$357.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $59.67 / $316.33	Professional		$32.34	$59.67	$316.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.52 / $170.14 / $237.36	Facility		$103.52	$170.14	$237.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $242.66 / $456.85	Professional		$134.83	$242.66	$456.85
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 $189.99 / $267.72 / $407.82	Professional		$189.99	$267.72	$407.82