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 $910.93 / $1,011.78 / $1,651.72	Professional		$910.93	$1,011.78	$1,651.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,552.54 / $16,307.81 / $25,305.82	Facility		$4,552.54	$16,307.81	$25,305.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $955.31 / $1,210.95 / $2,074.35	Professional		$955.31	$1,210.95	$2,074.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $996.17 / $1,490.96 / $1,864.41	Professional		$996.17	$1,490.96	$1,864.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,565.29	Professional		$32.34	$32.34	$1,565.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $960.30 / $1,260.47 / $1,715.73	Facility		$960.30	$1,260.47	$1,715.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,002.56 / $1,553.97 / $2,459.29	Professional		$1,002.56	$1,553.97	$2,459.29
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 $1,114.38 / $1,494.90 / $2,331.98	Professional		$1,114.38	$1,494.90	$2,331.98