Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.49 / $2,095.00 / $7,838.38	Facility		$895.49	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.48 / $895.49 / $1,394.66	Professional		$676.48	$895.49	$1,394.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.71 / $1,031.99 / $1,470.16	Professional		$752.71	$1,031.99	$1,470.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.46 / $1,151.19 / $1,546.89	Professional		$767.46	$1,151.19	$1,546.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,321.69	Professional		$32.34	$32.34	$1,321.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.17 / $950.18 / $1,189.56	Facility		$783.17	$950.18	$1,189.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $820.85 / $1,227.93 / $2,063.44	Professional		$820.85	$1,227.93	$2,063.44
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $13,891.00	Facility		$790.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $1,189.72 / $1,918.12	Professional		$864.00	$1,189.72	$1,918.12