Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $2,145.78 / $7,838.38	Facility		$146.16	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $136.94 / $191.16	Professional		$83.49	$136.94	$191.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.26 / $2,151.69 / $3,449.91	Facility		$930.26	$2,151.69	$3,449.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $137.00 / $227.41	Professional		$84.87	$137.00	$227.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $148.61 / $238.21	Professional		$115.48	$148.61	$238.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $114.43 / $203.15	Professional		$32.34	$114.43	$203.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.14 / $192.04 / $258.95	Facility		$92.14	$192.04	$258.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $155.19 / $238.21	Professional		$115.48	$155.19	$238.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $215.66 / $305.37	Professional		$146.37	$215.66	$305.37