Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.70 / $493.35 / $1,918.00	Professional		$418.70	$493.35	$1,918.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,517.39 / $13,325.38 / $24,181.26	Facility		$4,517.39	$13,325.38	$24,181.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $667.34 / $950.69	Professional		$422.50	$667.34	$950.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.04 / $725.27 / $987.08	Professional		$556.04	$725.27	$987.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $159.45 / $864.93	Professional		$32.34	$159.45	$864.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.57 / $569.65 / $687.44	Facility		$447.57	$569.65	$687.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $556.04 / $736.03 / $987.08	Professional		$556.04	$736.03	$987.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $13,891.00	Facility		$6,602.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.42 / $768.57 / $1,177.08	Professional		$569.42	$768.57	$1,177.08