Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.88 / $5,000.27 / $7,838.38	Facility		$331.88	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $299.89 / $376.84	Professional		$131.00	$299.89	$376.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,580.54 / $8,615.39 / $13,813.46	Facility		$2,580.54	$8,615.39	$13,813.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.85 / $241.41 / $501.20	Professional		$144.85	$241.41	$501.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $250.22 / $508.88	Professional		$156.13	$250.22	$508.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $252.19 / $422.94	Professional		$32.34	$252.19	$422.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.29 / $325.02 / $457.21	Facility		$137.29	$325.02	$457.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $250.22 / $508.88	Professional		$156.63	$250.22	$508.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.26 / $473.55 / $614.62	Professional		$356.26	$473.55	$614.62