Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.82 / $7,838.38 / $8,644.27	Facility		$917.82	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.34 / $917.82 / $3,242.00	Professional		$823.34	$917.82	$3,242.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,033.01 / $13,965.22 / $21,670.68	Facility		$4,033.01	$13,965.22	$21,670.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.74 / $1,098.46 / $1,633.88	Professional		$836.74	$1,098.46	$1,633.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.76 / $1,315.15 / $1,656.60	Professional		$876.76	$1,315.15	$1,656.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,418.36	Professional		$32.34	$32.34	$1,418.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.16 / $1,158.85 / $2,380.00	Facility		$870.16	$1,158.85	$2,380.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $901.36 / $1,358.98 / $2,230.21	Professional		$901.36	$1,358.98	$2,230.21
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 $989.19 / $1,317.50 / $2,102.98	Professional		$989.19	$1,317.50	$2,102.98