Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,665.92 / $2,970.84 / $7,838.38	Facility		$1,665.92	$2,970.84	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,466.10 / $1,665.92 / $2,620.11	Professional		$1,466.10	$1,665.92	$2,620.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.94 / $2,442.63 / $3,247.59	Professional		$1,471.94	$2,442.63	$3,247.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,483.01	Professional		$32.34	$32.34	$2,483.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,520.41 / $2,015.66 / $3,591.41	Facility		$1,520.41	$2,015.66	$3,591.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,684.57 / $2,548.12 / $3,964.08	Professional		$1,684.57	$2,548.12	$3,964.08
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 $1,688.04 / $2,391.39 / $3,787.26	Professional		$1,688.04	$2,391.39	$3,787.26