Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.32 / $5,000.27 / $7,838.38	Facility		$356.32	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $324.07 / $795.80	Professional		$150.30	$324.07	$795.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,928.01 / $5,750.17 / $9,219.52	Facility		$1,928.01	$5,750.17	$9,219.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $248.66 / $540.71	Professional		$149.19	$248.66	$540.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.11 / $292.73 / $515.41	Professional		$200.11	$292.73	$515.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $272.07 / $457.56	Professional		$32.34	$272.07	$457.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $397.39 / $521.54	Facility		$160.38	$397.39	$521.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $314.42 / $545.04	Professional		$179.67	$314.42	$545.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.84 / $498.75 / $644.63	Professional		$389.84	$498.75	$644.63