Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.83 / $2,773.24 / $8,763.29	Facility		$289.83	$2,773.24	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.16 / $230.10 / $456.81	Professional		$199.16	$230.10	$456.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,204.67 / $7,178.37 / $11,509.42	Facility		$2,204.67	$7,178.37	$11,509.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $308.86 / $411.11	Professional		$118.22	$308.86	$411.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $331.03 / $445.92	Professional		$236.25	$331.03	$445.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $236.74 / $419.25	Professional		$32.34	$236.74	$419.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.81 / $251.34 / $326.14	Facility		$187.81	$251.34	$326.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $341.38 / $474.07	Professional		$236.25	$341.38	$474.07
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 $261.89 / $355.25 / $530.87	Professional		$261.89	$355.25	$530.87