Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.80 / $2,095.00 / $7,838.38	Facility		$346.80	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $159.43 / $659.00	Professional		$130.46	$159.43	$659.00
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 $85.78 / $169.54 / $243.98	Professional		$85.78	$169.54	$243.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $227.96 / $287.77	Professional		$162.68	$227.96	$287.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $145.82 / $259.45	Professional		$32.34	$145.82	$259.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.44 / $174.77 / $231.06	Facility		$147.44	$174.77	$231.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $234.00 / $291.13	Professional		$162.68	$234.00	$291.13
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.87 / $237.64 / $362.62	Professional		$175.87	$237.64	$362.62