Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.12 / $2,095.00 / $7,838.38	Facility		$462.12	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.16 / $462.12 / $1,088.00	Professional		$353.16	$462.12	$1,088.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,465.93 / $16,375.69 / $26,683.96	Facility		$4,465.93	$16,375.69	$26,683.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.63 / $579.48 / $919.14	Professional		$437.63	$579.48	$919.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.21 / $646.98 / $785.90	Professional		$396.21	$646.98	$785.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $692.30 / $748.15	Professional		$32.34	$692.30	$748.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.84 / $705.16 / $810.68	Facility		$360.84	$705.16	$810.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $494.45 / $739.40 / $932.34	Professional		$494.45	$739.40	$932.34
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $13,891.00	Facility		$790.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.98 / $720.72 / $975.39	Professional		$595.98	$720.72	$975.39