Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.58 / $7,838.38 / $7,838.38	Facility		$65.58	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $137.99 / $260.27	Professional		$60.00	$137.99	$260.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,508.42 / $6,017.73 / $10,081.29	Facility		$2,508.42	$6,017.73	$10,081.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $115.68 / $218.87	Professional		$71.25	$115.68	$218.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $143.88 / $260.27	Professional		$83.68	$143.88	$260.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $119.64 / $209.88	Professional		$32.34	$119.64	$209.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $122.88 / $190.44	Facility		$63.50	$122.88	$190.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $155.00 / $260.27	Professional		$75.25	$155.00	$260.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.62 / $214.13 / $324.00	Professional		$159.62	$214.13	$324.00