Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.87 / $1,000.00 / $7,838.38	Facility		$110.87	$1,000.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $303.19 / $841.45	Professional		$77.50	$303.19	$841.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.12 / $659.49 / $1,145.90	Facility		$285.12	$659.49	$1,145.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $415.55 / $591.99	Professional		$100.48	$415.55	$591.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $342.17 / $728.41	Professional		$112.98	$342.17	$728.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $297.87 / $517.92	Professional		$32.34	$297.87	$517.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $443.82	Facility		$73.81	$73.81	$443.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $342.17 / $763.05	Professional		$101.53	$342.17	$763.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.42 / $738.08 / $1,041.21	Professional		$599.42	$738.08	$1,041.21