Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.08 / $2,040.00 / $7,838.38	Facility		$190.08	$2,040.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.08 / $406.38 / $816.19	Professional		$190.08	$406.38	$816.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,579.02 / $9,456.77 / $15,409.67	Facility		$2,579.02	$9,456.77	$15,409.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.30 / $429.16 / $777.85	Professional		$234.30	$429.16	$777.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.44 / $531.57 / $826.75	Professional		$250.44	$531.57	$826.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $689.36	Professional		$32.34	$32.34	$689.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.70 / $222.70 / $530.96	Facility		$222.70	$222.70	$530.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.44 / $531.57 / $826.75	Professional		$250.44	$531.57	$826.75
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $6,599.00 / $8,422.00	Facility		$639.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $523.19 / $721.14 / $995.10	Professional		$523.19	$721.14	$995.10