Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.97 / $2,145.78 / $7,838.38	Facility		$193.97	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $135.90 / $271.48	Professional		$117.40	$135.90	$271.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,103.48 / $7,445.27 / $12,472.82	Facility		$3,103.48	$7,445.27	$12,472.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $185.77 / $271.50	Professional		$72.90	$185.77	$271.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $195.81 / $275.16	Professional		$135.47	$195.81	$275.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $161.88 / $285.33	Professional		$32.34	$161.88	$285.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $145.51 / $192.08	Facility		$114.33	$145.51	$192.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $214.39 / $325.52	Professional		$147.60	$214.39	$325.52
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 $153.44 / $224.24 / $330.06	Professional		$153.44	$224.24	$330.06