Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.06 / $2,095.00 / $7,838.38	Facility		$772.06	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.06 / $944.63 / $4,170.55	Professional		$772.06	$944.63	$4,170.55
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 $656.97 / $1,054.08 / $1,299.16	Professional		$656.97	$1,054.08	$1,299.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,142.90 / $1,237.27	Professional		$32.34	$1,142.90	$1,237.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.47 / $968.22 / $1,365.33	Facility		$713.47	$968.22	$1,365.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $801.58 / $1,204.67 / $1,555.66	Professional		$801.58	$1,204.67	$1,555.66
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 $775.28 / $1,151.50 / $1,481.99	Professional		$775.28	$1,151.50	$1,481.99