Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,000.00 / $5,011.87	Facility		$467.74	$1,000.00	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $1,174.90	Professional		$338.84	$630.96	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,819.70 / $2,951.21	Facility		$831.76	$1,819.70	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $870.96	Professional		$426.58	$537.03	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,071.52	Professional		$436.52	$676.08	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $190.55 / $954.99	Professional		$32.36	$190.55	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $602.56 / $1,023.29	Facility		$371.54	$602.56	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,096.48	Professional		$407.38	$676.08	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $3,235.94	Facility		$229.09	$1,148.15	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,122.02	Professional		$436.52	$676.08	$1,122.02