Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,460.39 / $7,838.38	Facility		$1,000.00	$2,460.39	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.39 / $786.47 / $1,310.35	Professional		$681.39	$786.47	$1,310.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,419.71 / $8,378.81 / $13,001.91	Facility		$2,419.71	$8,378.81	$13,001.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.77 / $959.83 / $1,345.56	Professional		$702.77	$959.83	$1,345.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $1,101.67 / $1,302.24	Professional		$848.41	$1,101.67	$1,302.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,146.68 / $1,241.80	Professional		$32.34	$1,146.68	$1,241.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $746.64 / $990.39 / $1,324.27	Facility		$746.64	$990.39	$1,324.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $862.32 / $1,248.56 / $1,552.37	Professional		$862.32	$1,248.56	$1,552.37
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,503.00 / $5,060.00	Facility		$559.00	$3,503.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $884.51 / $1,172.49 / $1,494.35	Professional		$884.51	$1,172.49	$1,494.35