Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.31 / $2,145.78 / $7,838.38	Facility		$259.31	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $222.94 / $336.68	Professional		$127.06	$222.94	$336.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.38 / $1,006.38 / $1,641.28	Facility		$408.38	$1,006.38	$1,641.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.96 / $169.50 / $329.01	Professional		$100.96	$169.50	$329.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.20 / $196.20 / $233.79	Facility		$196.20	$196.20	$233.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $253.99 / $415.08	Professional		$158.72	$253.99	$415.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $67.06 / $362.51	Professional		$32.34	$67.06	$362.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $215.20 / $306.50	Facility		$131.35	$215.20	$306.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.96 / $285.00 / $512.29	Professional		$166.96	$285.00	$512.29
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,158.00 / $1,327.00	Facility		$200.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.33 / $342.93 / $497.52	Professional		$244.33	$342.93	$497.52