Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.00 / $5,000.27 / $7,838.38	Facility		$359.00	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $275.51 / $522.25	Professional		$149.21	$275.51	$522.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,835.94 / $6,357.37 / $9,865.12	Facility		$1,835.94	$6,357.37	$9,865.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.43 / $280.70 / $475.32	Professional		$168.43	$280.70	$475.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $307.77 / $550.09	Professional		$170.51	$307.77	$550.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $273.73 / $615.88	Professional		$32.34	$273.73	$615.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.61 / $306.87 / $436.62	Facility		$159.61	$306.87	$436.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $303.83 / $545.35	Professional		$170.51	$303.83	$545.35
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $5,971.00 / $8,422.00	Facility		$639.00	$5,971.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $431.92 / $646.74	Professional		$326.70	$431.92	$646.74