Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.17 / $515.80 / $7,838.38	Facility		$257.17	$515.80	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.68 / $176.98 / $711.00	Professional		$146.68	$176.98	$711.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $208.63 / $423.94	Professional		$170.83	$208.63	$423.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.68 / $295.68 / $364.31	Professional		$226.68	$295.68	$364.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.85 / $269.75	Professional		$32.34	$49.85	$269.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.73 / $206.73 / $226.68	Facility		$206.73	$206.73	$226.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.80 / $295.68 / $364.31	Professional		$207.80	$295.68	$364.31
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.49 / $298.35 / $421.20	Professional		$245.49	$298.35	$421.20