Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $257.04 / $7,762.47	Facility		$169.82	$257.04	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $331.13	Professional		$134.90	$177.83	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,818.38 / $4,570.88	Facility		$1,288.25	$2,818.38	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $229.09	Professional		$138.04	$186.21	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $275.42	Professional		$117.49	$204.17	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $275.42	Facility		$131.83	$190.55	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $275.42	Professional		$123.03	$186.21	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $5,011.87	Facility		$562.34	$3,467.37	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $269.15	Professional		$141.25	$194.98	$269.15