Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.67 / $5,000.27 / $7,838.38	Facility		$231.67	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.53 / $216.12 / $379.79	Professional		$162.53	$216.12	$379.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,026.76 / $6,766.52 / $10,849.08	Facility		$2,026.76	$6,766.52	$10,849.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $260.60 / $340.99	Professional		$118.17	$260.60	$340.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.57 / $264.68 / $363.09	Professional		$182.57	$264.68	$363.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $196.37 / $347.16	Professional		$32.34	$196.37	$347.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.17 / $205.78 / $268.10	Facility		$166.17	$205.78	$268.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.51 / $274.83 / $395.23	Professional		$190.51	$274.83	$395.23
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 $218.96 / $290.57 / $421.06	Professional		$218.96	$290.57	$421.06