Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.21 / $2,145.78 / $7,838.38	Facility		$199.21	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $176.10 / $639.58	Professional		$110.64	$176.10	$639.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.44 / $509.65 / $853.79	Facility		$212.44	$509.65	$853.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.44 / $159.06 / $247.80	Professional		$95.44	$159.06	$247.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.03 / $218.42 / $342.12	Professional		$141.03	$218.42	$342.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $99.93 / $275.08	Professional		$32.34	$99.93	$275.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.68 / $173.02 / $249.25	Facility		$113.68	$173.02	$249.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.61 / $218.42 / $342.12	Professional		$145.61	$218.42	$342.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,388.74 / $2,516.00 / $2,877.00	Facility		$1,388.74	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.62 / $270.26 / $432.54	Professional		$209.62	$270.26	$432.54