Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.60 / $2,145.78 / $7,838.38	Facility		$230.60	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $311.73 / $751.52	Professional		$126.76	$311.73	$751.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,790.75 / $4,412.99 / $7,197.01	Facility		$1,790.75	$4,412.99	$7,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $191.85 / $348.12	Professional		$109.97	$191.85	$348.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $210.39 / $749.86	Facility		$210.39	$210.39	$749.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $232.87 / $374.44	Professional		$147.01	$232.87	$374.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $175.16 / $309.13	Professional		$32.34	$175.16	$309.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.99 / $189.65 / $303.70	Facility		$117.99	$189.65	$303.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $294.39 / $518.65	Professional		$165.38	$294.39	$518.65
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 $208.88 / $293.26 / $419.76	Professional		$208.88	$293.26	$419.76