Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $8,644.27	Facility		$1,000.00	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.60 / $1,045.65 / $2,119.52	Professional		$923.60	$1,045.65	$2,119.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,345.93 / $15,935.67 / $25,966.96	Facility		$4,345.93	$15,935.67	$25,966.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.75 / $1,213.43 / $1,835.36	Professional		$977.75	$1,213.43	$1,835.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.00 / $1,473.71 / $1,901.71	Professional		$1,001.00	$1,473.71	$1,901.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,570.37	Professional		$32.34	$32.34	$1,570.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $963.42 / $1,301.36 / $3,100.86	Facility		$963.42	$1,301.36	$3,100.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,007.40 / $1,561.46 / $2,487.51	Professional		$1,007.40	$1,561.46	$2,487.51
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 $1,079.94 / $1,497.64 / $2,362.90	Professional		$1,079.94	$1,497.64	$2,362.90