Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.14 / $2,145.78 / $7,838.38	Facility		$238.14	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.76 / $218.25 / $391.56	Professional		$179.76	$218.25	$391.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.85 / $238.85 / $290.36	Professional		$238.85	$238.85	$290.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.35 / $315.60 / $414.15	Professional		$225.35	$315.60	$414.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $371.07	Professional		$32.34	$32.34	$371.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.59 / $246.72 / $337.62	Facility		$213.59	$246.72	$337.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $321.20 / $416.38	Professional		$234.00	$321.20	$416.38
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 $267.75 / $337.49 / $500.87	Professional		$267.75	$337.49	$500.87