Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,095.00 / $7,838.38	Facility		$1,000.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.42 / $1,257.33 / $5,352.85	Professional		$1,024.42	$1,257.33	$5,352.85
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $874.04 / $1,362.12 / $1,727.88	Professional		$874.04	$1,362.12	$1,727.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,523.52 / $1,650.02	Professional		$32.34	$1,523.52	$1,650.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.83 / $1,237.56 / $1,803.93	Facility		$896.83	$1,237.56	$1,803.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,027.07 / $1,548.80 / $2,064.98	Professional		$1,027.07	$1,548.80	$2,064.98
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 $1,012.45 / $1,419.53 / $2,038.76	Professional		$1,012.45	$1,419.53	$2,038.76