Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $8,709.64	Facility		$316.23	$398.11	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $912.01	Professional		$190.55	$239.88	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $11,481.54	Facility		$3,090.30	$7,244.36	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $309.03 / $489.78	Professional		$275.42	$309.03	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $457.09	Professional		$245.47	$331.13	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $707.95	Professional		$32.36	$33.11	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $323.59 / $537.03	Facility		$239.88	$323.59	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $457.09	Professional		$245.47	$323.59	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,606.93 / $14,125.38	Facility		$645.65	$6,606.93	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $501.19	Professional		$239.88	$323.59	$501.19