Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.20 / $1,047.00 / $7,838.38	Facility		$457.20	$1,047.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.09 / $416.51 / $967.14	Professional		$211.09	$416.51	$967.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,339.08 / $4,636.88 / $7,195.32	Facility		$1,339.08	$4,636.88	$7,195.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.08 / $363.46 / $672.65	Professional		$218.08	$363.46	$672.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $438.57 / $742.36	Professional		$248.85	$438.57	$742.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.11 / $667.59	Professional		$32.34	$80.11	$667.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.34 / $362.47 / $654.71	Facility		$192.34	$362.47	$654.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $261.23 / $475.89 / $853.58	Professional		$261.23	$475.89	$853.58
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 $458.38 / $624.26 / $937.72	Professional		$458.38	$624.26	$937.72