Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.13 / $724.13 / $881.67	Facility		$724.13	$724.13	$881.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.13 / $881.67 / $1,840.26	Professional		$724.13	$881.67	$1,840.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,524.05 / $9,255.19 / $15,081.20	Facility		$2,524.05	$9,255.19	$15,081.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.85 / $1,033.83 / $1,747.61	Professional		$581.85	$1,033.83	$1,747.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.28 / $1,254.39 / $1,649.92	Professional		$809.28	$1,254.39	$1,649.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $148.21 / $1,235.09	Professional		$32.34	$148.21	$1,235.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $788.68 / $1,089.50 / $1,443.68	Facility		$788.68	$1,089.50	$1,443.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.32 / $1,294.84 / $1,867.22	Professional		$912.32	$1,294.84	$1,867.22
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,503.00 / $5,060.00	Facility		$559.00	$3,503.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $999.13 / $1,346.28 / $1,822.00	Professional		$999.13	$1,346.28	$1,822.00