Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.71 / $7,838.38 / $8,763.29	Facility		$203.71	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $183.66 / $331.19	Professional		$112.77	$183.66	$331.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.86 / $1,199.16 / $2,008.92	Facility		$499.86	$1,199.16	$2,008.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $179.27 / $295.83	Professional		$98.00	$179.27	$295.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $221.92 / $331.55	Professional		$147.94	$221.92	$331.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $159.69 / $292.77	Professional		$32.34	$159.69	$292.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.89 / $172.90 / $262.43	Facility		$113.89	$172.90	$262.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $221.92 / $356.19	Professional		$141.99	$221.92	$356.19
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 $216.66 / $292.06 / $430.12	Professional		$216.66	$292.06	$430.12