Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.04 / $5,000.27 / $7,838.38	Facility		$207.04	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $196.41 / $364.73	Professional		$145.04	$196.41	$364.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,925.42 / $7,018.11 / $11,757.21	Facility		$2,925.42	$7,018.11	$11,757.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $252.94 / $344.75	Professional		$149.69	$252.94	$344.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $268.72 / $362.08	Professional		$171.38	$268.72	$362.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $198.53 / $348.69	Professional		$32.34	$198.53	$348.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $198.00 / $290.31	Facility		$151.19	$198.00	$290.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.83 / $268.72 / $398.24	Professional		$178.83	$268.72	$398.24
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 $231.30 / $307.50 / $462.14	Professional		$231.30	$307.50	$462.14