Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $8,709.64	Facility		$2,041.74	$2,137.96	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $2,630.27	Professional		$1,174.90	$1,348.96	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $10,000.00	Facility		$2,570.40	$6,309.57	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,737.80 / $2,454.71	Professional		$891.25	$1,737.80	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $4,786.30	Professional		$1,122.02	$1,862.09	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,754.23	Facility		$1,148.15	$1,513.56	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $3,090.30	Professional		$1,230.27	$1,995.26	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,365.16 / $12,589.25	Facility		$562.34	$4,365.16	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,454.71	Professional		$1,122.02	$1,737.80	$2,454.71