Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $9,028.04 / $9,028.04	Facility		$77.98	$9,028.04	$9,028.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $81.69 / $354.00	Professional		$74.62	$81.69	$354.00
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 $112.95 / $115.70 / $167.12	Professional		$112.95	$115.70	$167.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $137.49 / $176.13	Professional		$97.20	$137.49	$176.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $32.34 / $145.46	Professional		$26.98	$32.34	$145.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.32 / $130.22 / $142.99	Facility		$102.32	$130.22	$142.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $137.16 / $176.13	Professional		$97.20	$137.16	$176.13
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 $112.50 / $146.30 / $215.46	Professional		$112.50	$146.30	$215.46