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 / $8,942.39	Facility		$1,000.00	$7,838.38	$8,942.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.27 / $1,081.71 / $1,681.30	Professional		$924.27	$1,081.71	$1,681.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,709.52 / $16,307.81 / $25,305.82	Facility		$4,709.52	$16,307.81	$25,305.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.40 / $1,298.26 / $1,968.51	Professional		$1,006.40	$1,298.26	$1,968.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.57 / $1,576.74 / $1,984.34	Professional		$1,051.57	$1,576.74	$1,984.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,675.74	Professional		$32.34	$32.34	$1,675.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,028.06 / $1,369.74 / $2,040.00	Facility		$1,028.06	$1,369.74	$2,040.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,063.91 / $1,629.94 / $2,630.27	Professional		$1,063.91	$1,629.94	$2,630.27
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 $1,193.80 / $1,549.38 / $2,174.58	Professional		$1,193.80	$1,549.38	$2,174.58