Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,838.38	Facility		$1,000.00	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.69 / $1,032.27 / $1,286.51	Professional		$897.69	$1,032.27	$1,286.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,201.07 / $15,048.81 / $23,352.16	Facility		$4,201.07	$15,048.81	$23,352.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $996.48 / $1,539.18 / $2,019.98	Professional		$996.48	$1,539.18	$2,019.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,515.09	Professional		$32.34	$32.34	$1,515.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $897.69 / $1,333.36 / $2,437.65	Facility		$897.69	$1,333.36	$2,437.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,061.50 / $1,622.20 / $2,457.63	Professional		$1,061.50	$1,622.20	$2,457.63
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $25,873.42	Facility		$899.00	$11,259.00	$25,873.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.10 / $1,555.40 / $2,493.91	Professional		$1,176.10	$1,555.40	$2,493.91