Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.53 / $2,145.78 / $7,838.38	Facility		$138.53	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.21 / $112.23 / $202.02	Professional		$56.21	$112.23	$202.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,741.80 / $6,577.60 / $11,019.23	Facility		$2,741.80	$6,577.60	$11,019.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Professional		$84.00	$84.00	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.26 / $116.89 / $239.36	Professional		$70.26	$116.89	$239.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $105.83 / $264.58	Professional		$32.34	$105.83	$264.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $116.60 / $177.60	Facility		$59.99	$116.60	$177.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $116.89 / $239.36	Professional		$70.65	$116.89	$239.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $10,150.00	Facility		$6,602.00	$9,127.00	$10,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.76 / $199.09 / $293.20	Professional		$146.76	$199.09	$293.20