Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,506.52 / $7,838.38	Facility		$1,000.00	$2,506.52	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,203.90 / $2,506.52 / $5,119.07	Professional		$2,203.90	$2,506.52	$5,119.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,412.86 / $2,946.64 / $4,538.28	Professional		$2,412.86	$2,946.64	$4,538.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,515.03 / $3,657.58 / $4,739.10	Professional		$2,515.03	$3,657.58	$4,739.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,792.77	Professional		$32.34	$32.34	$3,792.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,326.85 / $3,187.50 / $3,909.83	Facility		$2,326.85	$3,187.50	$3,909.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,522.46 / $3,909.83 / $6,039.91	Professional		$2,522.46	$3,909.83	$6,039.91
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.17 / $3,721.83 / $4,995.89	Professional		$2,818.17	$3,721.83	$4,995.89