Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.34 / $2,145.78 / $7,838.38	Facility		$201.34	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $194.54 / $332.13	Professional		$117.56	$194.54	$332.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,769.16 / $5,906.52 / $9,470.20	Facility		$1,769.16	$5,906.52	$9,470.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $180.45 / $319.19	Professional		$103.80	$180.45	$319.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.56 / $233.34 / $351.67	Professional		$155.56	$233.34	$351.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $170.01 / $302.74	Professional		$32.34	$170.01	$302.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.55 / $188.55 / $283.04	Facility		$110.55	$188.55	$283.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $234.00 / $362.94	Professional		$150.33	$234.00	$362.94
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 $226.17 / $305.76 / $459.27	Professional		$226.17	$305.76	$459.27