Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.00 / $2,123.44 / $2,145.78	Facility		$1,047.00	$2,123.44	$2,145.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $239.61 / $381.32	Professional		$82.15	$239.61	$381.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.57 / $3,437.90 / $5,602.01	Facility		$937.57	$3,437.90	$5,602.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.46 / $225.18 / $365.07	Professional		$102.46	$225.18	$365.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $184.74 / $452.81	Professional		$100.42	$184.74	$452.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $306.14	Professional		$32.34	$32.34	$306.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.12 / $119.64 / $317.83	Facility		$74.12	$119.64	$317.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $237.41 / $452.81	Professional		$100.42	$237.41	$452.81
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 $331.56 / $407.00 / $584.60	Professional		$331.56	$407.00	$584.60