Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.22 / $5,000.27 / $7,838.38	Facility		$196.22	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $196.22 / $327.10	Professional		$129.57	$196.22	$327.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,056.29 / $6,865.13 / $11,007.18	Facility		$2,056.29	$6,865.13	$11,007.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $235.38 / $335.33	Professional		$102.01	$235.38	$335.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $246.99 / $345.63	Professional		$168.78	$246.99	$345.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $168.73 / $302.01	Professional		$32.34	$168.73	$302.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $255.16 / $305.98	Facility		$159.19	$255.16	$305.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $246.99 / $345.63	Professional		$168.78	$246.99	$345.63
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 $237.40 / $305.25 / $427.38	Professional		$237.40	$305.25	$427.38