Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.66 / $2,095.00 / $8,763.29	Facility		$1,055.66	$2,095.00	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.29 / $1,024.08 / $2,288.38	Professional		$786.29	$1,024.08	$2,288.38
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $61.79 / $624.02 / $640.75	Professional	AS	$61.79	$624.02	$640.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,419.71 / $8,872.59 / $14,457.77	Facility		$2,419.71	$8,872.59	$14,457.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.64 / $1,140.86 / $1,563.00	Professional		$578.64	$1,140.86	$1,563.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.61 / $1,350.88 / $1,735.82	Professional		$892.61	$1,350.88	$1,735.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $922.31 / $1,653.13	Professional		$32.34	$922.31	$1,653.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $653.10 / $1,267.18 / $1,882.51	Facility		$653.10	$1,267.18	$1,882.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $901.51 / $1,440.94 / $2,005.96	Professional		$901.51	$1,440.94	$2,005.96
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $267.79 / $267.79 / $267.79	Professional	AS	$267.79	$267.79	$267.79
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $16,012.04	Facility		$790.00	$9,127.00	$16,012.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,256.63 / $1,666.45 / $2,005.91	Professional		$1,256.63	$1,666.45	$2,005.91