Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.61 / $1,292.79 / $7,838.38	Facility		$174.61	$1,292.79	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $148.75 / $268.43	Professional		$104.59	$148.75	$268.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.50 / $1,751.80 / $2,942.66	Facility		$492.50	$1,751.80	$2,942.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $178.54 / $315.64	Professional		$89.60	$178.54	$315.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $190.30 / $281.13	Professional		$126.17	$190.30	$281.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $271.48	Professional		$32.34	$32.34	$271.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.47 / $155.72 / $200.70	Facility		$101.47	$155.72	$200.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $209.42 / $335.79	Professional		$128.74	$209.42	$335.79
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 $184.91 / $243.54 / $356.28	Professional		$184.91	$243.54	$356.28