Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,659.59 / $7,762.47	Facility		$1,621.81	$1,659.59	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $2,754.23	Professional		$977.24	$1,122.02	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $17,378.01 / $28,183.83	Facility		$7,762.47	$17,378.01	$28,183.83
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 / $1,445.44 / $2,238.72	Facility		$1,071.52	$1,445.44	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,570.40	Professional		$1,071.52	$1,621.81	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $11,220.18 / $56,234.13	Facility		$891.25	$11,220.18	$56,234.13
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