Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $288.40 / $7,762.47	Facility		$186.21	$288.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $478.63	Professional		$117.49	$177.83	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $7,943.28 / $12,882.50	Facility		$3,548.13	$7,943.28	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $257.04	Professional		$120.23	$199.53	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $323.59	Professional		$147.91	$204.17	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $269.15	Professional		$32.36	$33.11	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $190.55 / $380.19	Facility		$134.90	$190.55	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $323.59	Professional		$147.91	$194.98	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,265.80 / $8,912.51	Facility		$562.34	$4,265.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $295.12	Professional		$134.90	$186.21	$295.12