Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,095.00 / $7,838.38	Facility		$1,000.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.47 / $1,120.53 / $4,768.00	Professional		$944.47	$1,120.53	$4,768.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,709.52 / $17,268.87 / $28,139.38	Facility		$4,709.52	$17,268.87	$28,139.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $969.00 / $1,341.91 / $1,953.47	Professional		$969.00	$1,341.91	$1,953.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.84 / $1,601.93 / $2,021.59	Professional		$1,056.84	$1,601.93	$2,021.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,734.25	Professional		$32.34	$32.34	$1,734.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,063.96 / $1,310.65 / $1,650.26	Facility		$1,063.96	$1,310.65	$1,650.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,102.17 / $1,655.33 / $2,721.57	Professional		$1,102.17	$1,655.33	$2,721.57
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 $1,192.03 / $1,596.91 / $2,573.37	Professional		$1,192.03	$1,596.91	$2,573.37