Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $251.19 / $7,762.47	Facility		$190.55	$251.19	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $316.23	Professional		$112.20	$147.91	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,258.93 / $2,041.74	Facility		$575.44	$1,258.93	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Professional		$162.18	$162.18	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $281.84	Professional		$158.49	$229.09	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $213.80 / $389.05	Facility		$154.88	$213.80	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $281.84	Professional		$162.18	$218.78	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,981.07	Facility		$416.87	$2,511.89	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $316.23	Professional		$154.88	$213.80	$316.23