Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.73 / $2,095.00 / $7,838.38	Facility		$865.73	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.94 / $865.73 / $1,344.58	Professional		$666.94	$865.73	$1,344.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,855.07 / $9,886.35 / $15,341.24	Facility		$2,855.07	$9,886.35	$15,341.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.78 / $995.45 / $1,512.39	Professional		$727.78	$995.45	$1,512.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.68 / $1,129.01 / $1,491.70	Professional		$752.68	$1,129.01	$1,491.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,274.22	Professional		$32.34	$32.34	$1,274.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $756.57 / $970.97 / $1,187.70	Facility		$756.57	$970.97	$1,187.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $791.51 / $1,204.28 / $1,963.38	Professional		$791.51	$1,204.28	$1,963.38
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 $859.18 / $1,120.14 / $1,789.19	Professional		$859.18	$1,120.14	$1,789.19