Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $9,120.11 / $9,120.11	Facility		$4,168.69	$9,120.11	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,137.96 / $3,311.31	Professional		$457.09	$2,137.96	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $14,791.08 / $24,547.09	Facility		$4,168.69	$14,791.08	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,754.23	Professional		$1,698.24	$2,238.72	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,888.44	Professional		$4,265.80	$4,265.80	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,311.31 / $8,128.31	Facility		$457.09	$3,311.31	$8,128.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,981.07	Professional		$2,884.03	$3,019.95	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,659.59	Professional		$1,148.15	$1,148.15	$1,659.59