Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,380.38 / $7,762.47	Facility		$724.44	$1,380.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $851.14	Professional		$371.54	$436.52	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $70,794.58 / $112,201.85	Facility		$19,952.62	$70,794.58	$112,201.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,479.11	Professional		$354.81	$562.34	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $537.03 / $912.01	Facility		$416.87	$537.03	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,023.29	Professional		$371.54	$588.84	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $30,902.95 / $79,432.82	Facility		$3,388.44	$30,902.95	$79,432.82
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $776.25	Professional		$416.87	$549.54	$776.25