Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $218.78 / $218.78	Facility		$213.80	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $371.54	Professional		$104.71	$151.36	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,715.19 / $17,782.79	Facility		$4,897.79	$10,715.19	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $229.09	Professional		$64.57	$120.23	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $269.15 / $501.19	Professional		$128.82	$269.15	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $263.03 / $776.25	Facility		$151.36	$263.03	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $398.11	Professional		$186.21	$281.84	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $13,803.84 / $13,803.84	Facility		$6,165.95	$13,803.84	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $457.09	Professional		$162.18	$295.12	$457.09