Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.97 / $5,000.27 / $7,838.38	Facility		$1,063.97	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.95 / $1,063.97 / $2,726.23	Professional		$869.95	$1,063.97	$2,726.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,553.61 / $6,126.13 / $10,262.90	Facility		$2,553.61	$6,126.13	$10,262.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.80 / $1,574.50 / $2,054.73	Professional		$971.80	$1,574.50	$2,054.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.20 / $1,544.89 / $1,966.84	Professional		$990.20	$1,544.89	$1,966.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $306.39 / $1,644.67	Professional		$32.34	$306.39	$1,644.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,093.09 / $1,093.09 / $1,181.67	Facility		$1,093.09	$1,093.09	$1,181.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,181.67 / $1,541.30 / $1,966.84	Professional		$1,181.67	$1,541.30	$1,966.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,616.16 / $2,463.23	Professional		$1,269.90	$1,616.16	$2,463.23