Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.36 / $7,838.38 / $8,644.27	Facility		$243.36	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.86 / $225.45 / $646.05	Professional		$129.86	$225.45	$646.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,099.52 / $8,426.79 / $13,511.07	Facility		$3,099.52	$8,426.79	$13,511.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $187.07 / $381.09	Professional		$109.39	$187.07	$381.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $335.45 / $399.26	Professional		$182.53	$335.45	$399.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $191.75 / $338.62	Professional		$32.34	$191.75	$338.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.19 / $801.11 / $1,052.18	Facility		$225.19	$801.11	$1,052.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $326.39 / $399.26	Professional		$182.53	$326.39	$399.26
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 $293.51 / $425.76 / $1,078.44	Professional		$293.51	$425.76	$1,078.44