Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.35 / $2,095.00 / $7,838.38	Facility		$817.35	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.94 / $879.64 / $1,320.81	Professional		$737.94	$879.64	$1,320.81
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 $838.49 / $1,306.19 / $1,645.16	Professional		$838.49	$1,306.19	$1,645.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,251.69	Professional		$32.34	$32.34	$1,251.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $767.91 / $1,128.38 / $2,310.00	Facility		$767.91	$1,128.38	$2,310.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $869.48 / $1,399.49 / $1,941.37	Professional		$869.48	$1,399.49	$1,941.37
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 $979.78 / $1,345.84 / $2,085.29	Professional		$979.78	$1,345.84	$2,085.29