Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.89 / $2,145.78 / $7,838.38	Facility		$168.89	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $119.01 / $261.82	Professional		$100.90	$119.01	$261.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,925.42 / $7,018.11 / $11,757.21	Facility		$2,925.42	$7,018.11	$11,757.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $137.96 / $196.57	Professional		$137.96	$137.96	$196.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $167.55 / $238.73	Professional		$115.74	$167.55	$238.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $140.90 / $248.12	Professional		$32.34	$140.90	$248.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.99 / $124.71 / $168.44	Facility		$97.99	$124.71	$168.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.31 / $183.32 / $282.24	Professional		$128.31	$183.32	$282.24
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 $130.07 / $181.79 / $285.01	Professional		$130.07	$181.79	$285.01