Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.02 / $2,145.78 / $7,838.38	Facility		$328.02	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $219.56 / $422.84	Professional		$78.04	$219.56	$422.84
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 $103.43 / $159.66 / $414.50	Professional		$103.43	$159.66	$414.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $143.87 / $579.87	Facility		$143.87	$143.87	$579.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.21 / $174.68 / $459.05	Professional		$94.21	$174.68	$459.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $79.56 / $417.96	Professional		$32.34	$79.56	$417.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.82 / $231.30 / $327.72	Facility		$82.82	$231.30	$327.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.07 / $249.95 / $630.03	Professional		$98.07	$249.95	$630.03
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 $250.03 / $343.73 / $560.64	Professional		$250.03	$343.73	$560.64