Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $7,762.47	Facility		$1,621.81	$2,089.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $2,238.72	Professional		$977.24	$1,122.02	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $33,113.11 / $53,703.18	Facility		$14,791.08	$33,113.11	$53,703.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,949.84	Professional		$977.24	$1,348.96	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $3,715.35	Professional		$912.01	$1,548.82	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,238.72	Facility		$1,071.52	$1,412.54	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,511.89	Professional		$1,071.52	$1,621.81	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $11,220.18 / $31,622.78	Facility		$891.25	$11,220.18	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,137.96	Professional		$1,148.15	$1,548.82	$2,137.96