Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.96 / $2,145.78 / $7,838.38	Facility		$376.96	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.09 / $254.20 / $486.28	Professional		$90.09	$254.20	$486.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $233.56 / $529.55	Professional		$116.67	$233.56	$529.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $162.66 / $1,656.16	Facility		$162.66	$162.66	$1,656.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $203.26 / $526.09	Professional		$110.94	$203.26	$526.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $90.84 / $475.65	Professional		$32.34	$90.84	$475.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $291.81 / $422.27	Facility		$94.44	$291.81	$422.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $281.18 / $719.20	Professional		$111.55	$281.18	$719.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $6,599.00 / $6,599.00	Facility		$1,421.00	$6,599.00	$6,599.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.33 / $418.30 / $649.70	Professional		$294.33	$418.30	$649.70