Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.53 / $5,000.27 / $7,838.38	Facility		$231.53	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $208.98 / $405.07	Professional		$128.94	$208.98	$405.07
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 $137.04 / $228.40 / $355.62	Professional		$137.04	$228.40	$355.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.93 / $254.89 / $390.00	Professional		$169.93	$254.89	$390.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $180.30 / $450.75	Professional		$32.34	$180.30	$450.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.56 / $201.65 / $304.20	Facility		$134.56	$201.65	$304.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $254.89 / $409.14	Professional		$161.44	$254.89	$409.14
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $314.89 / $487.62	Professional		$252.64	$314.89	$487.62