Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.82 / $118.82 / $244.01	Facility		$118.82	$118.82	$244.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $195.21 / $195.21	Professional		$118.82	$195.21	$195.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.19 / $3,817.85 / $6,221.14	Facility		$1,041.19	$3,817.85	$6,221.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $107.64 / $251.23	Professional		$54.05	$107.64	$251.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.29 / $95.29 / $95.29	Facility		$95.29	$95.29	$95.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $272.31 / $402.26	Professional		$144.18	$272.31	$402.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.09 / $179.10	Professional		$32.34	$75.09	$179.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.49 / $493.14 / $670.99	Facility		$129.49	$493.14	$670.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.57 / $289.05 / $452.82	Professional		$166.57	$289.05	$452.82
United Facility/Professional Facility Modifier Low / Median / High Price $6,833.27 / $6,833.27 / $6,833.27	Facility		$6,833.27	$6,833.27	$6,833.27
United Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $269.77 / $376.20	Professional		$186.58	$269.77	$376.20