Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.80 / $2,145.78 / $7,838.38	Facility		$149.80	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $144.40 / $334.23	Professional		$96.70	$144.40	$334.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,247.63 / $5,322.93 / $9,033.20	Facility		$2,247.63	$5,322.93	$9,033.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $163.74 / $254.23	Professional		$87.33	$163.74	$254.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $179.61 / $250.47	Professional		$123.36	$179.61	$250.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $127.92 / $224.76	Professional		$32.34	$127.92	$224.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $219.38 / $228.44	Facility		$135.97	$219.38	$228.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $179.61 / $254.84	Professional		$123.36	$179.61	$254.84
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 $176.30 / $227.40 / $312.05	Professional		$176.30	$227.40	$312.05