Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.67 / $8,708.08 / $8,708.08	Facility		$88.67	$8,708.08	$8,708.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.67 / $101.08 / $452.00	Professional		$88.67	$101.08	$452.00
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 $127.46 / $130.43 / $186.49	Professional		$127.46	$130.43	$186.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $154.80 / $198.34	Professional		$110.09	$154.80	$198.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $32.34 / $163.46	Professional		$30.45	$32.34	$163.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.82 / $144.86 / $159.93	Facility		$113.82	$144.86	$159.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $154.80 / $198.34	Professional		$110.09	$154.80	$198.34
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 $126.45 / $160.16 / $243.00	Professional		$126.45	$160.16	$243.00