Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.19 / $5,000.27 / $7,838.38	Facility		$218.19	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $220.84 / $364.30	Professional		$140.19	$220.84	$364.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.19 / $7,859.75 / $12,601.90	Facility		$2,354.19	$7,859.75	$12,601.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $223.73 / $372.61	Professional		$123.16	$223.73	$372.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.31 / $261.19 / $385.73	Professional		$168.31	$261.19	$385.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $187.48 / $333.71	Professional		$32.34	$187.48	$333.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $181.08 / $371.61	Facility		$134.90	$181.08	$371.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.31 / $261.19 / $410.59	Professional		$172.31	$261.19	$410.59
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 $289.25 / $358.02 / $507.19	Professional		$289.25	$358.02	$507.19