Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.28 / $2,145.78 / $7,838.38	Facility		$219.28	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $211.69 / $364.35	Professional		$163.33	$211.69	$364.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,150.12 / $7,178.37 / $11,509.42	Facility		$2,150.12	$7,178.37	$11,509.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $255.37 / $351.21	Professional		$150.44	$255.37	$351.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.22 / $291.58 / $385.78	Professional		$203.22	$291.58	$385.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $188.54 / $340.33	Professional		$32.34	$188.54	$340.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.99 / $205.65 / $308.93	Facility		$122.99	$205.65	$308.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.22 / $291.58 / $403.46	Professional		$203.22	$291.58	$403.46
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 $256.05 / $330.76 / $507.87	Professional		$256.05	$330.76	$507.87