Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.07 / $2,145.78 / $7,838.38	Facility		$246.07	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $195.33 / $325.55	Professional		$115.53	$195.33	$325.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.01 / $2,589.53 / $4,349.85	Facility		$728.01	$2,589.53	$4,349.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $152.57 / $346.52	Professional		$73.06	$152.57	$346.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $264.32 / $404.48	Professional		$161.38	$264.32	$404.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.32 / $344.37	Professional		$32.34	$41.32	$344.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.55 / $216.88 / $368.98	Facility		$103.55	$216.88	$368.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.46 / $280.83 / $430.88	Professional		$169.46	$280.83	$430.88
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 $206.50 / $335.92 / $496.14	Professional		$206.50	$335.92	$496.14