Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.83 / $2,145.78 / $7,838.38	Facility		$175.83	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.42 / $159.31 / $288.44	Professional		$118.42	$159.31	$288.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.43 / $1,193.33 / $1,999.17	Facility		$497.43	$1,193.33	$1,999.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $185.09 / $265.48	Professional		$88.64	$185.09	$265.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $219.95 / $291.19	Professional		$146.91	$219.95	$291.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $152.88 / $272.23	Professional		$32.34	$152.88	$272.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.31 / $167.13 / $234.68	Facility		$131.31	$167.13	$234.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $219.95 / $304.13	Professional		$146.91	$219.95	$304.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.65 / $247.59 / $369.73	Professional		$179.65	$247.59	$369.73