Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.11 / $1,378.00 / $7,838.38	Facility		$634.11	$1,378.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.12 / $629.79 / $1,087.01	Professional		$378.12	$629.79	$1,087.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.09 / $1,617.39 / $2,431.96	Facility		$441.09	$1,617.39	$2,431.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.18 / $663.64 / $875.36	Professional		$398.18	$663.64	$875.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.42 / $680.07 / $1,049.51	Professional		$435.42	$680.07	$1,049.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $299.50 / $978.88	Professional		$32.34	$299.50	$978.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $438.25 / $675.60 / $1,046.15	Facility		$438.25	$675.60	$1,046.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $452.10 / $761.89 / $1,276.95	Professional		$452.10	$761.89	$1,276.95
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $12,517.79	Facility		$418.00	$2,516.00	$12,517.79
United Facility/Professional Professional Modifier Low / Median / High Price $767.77 / $1,044.35 / $1,257.08	Professional		$767.77	$1,044.35	$1,257.08