Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.99 / $2,145.78 / $7,838.38	Facility		$161.99	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $138.55 / $253.36	Professional		$95.67	$138.55	$253.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.47 / $2,788.49 / $4,543.81	Facility		$760.47	$2,788.49	$4,543.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $154.38 / $208.43	Professional		$92.63	$154.38	$208.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $173.63 / $289.74	Professional		$113.43	$173.63	$289.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $266.04	Professional		$32.34	$32.34	$266.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.32 / $138.55 / $192.40	Facility		$86.32	$138.55	$192.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $186.65 / $312.89	Professional		$113.43	$186.65	$312.89
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $247.00 / $375.25	Professional		$194.75	$247.00	$375.25