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 $1,153.32 / $1,290.33 / $2,144.66	Professional		$1,153.32	$1,290.33	$2,144.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,117.81 / $1,903.70 / $2,178.79	Professional		$1,117.81	$1,903.70	$2,178.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.84 / $1,817.78 / $2,306.19	Professional		$1,211.84	$1,817.78	$2,306.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,977.73	Professional		$32.34	$32.34	$1,977.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,189.74 / $1,551.66 / $2,856.00	Facility		$1,189.74	$1,551.66	$2,856.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,255.59 / $1,878.37 / $3,098.39	Professional		$1,255.59	$1,878.37	$3,098.39
United Facility/Professional Facility Modifier Low / Median / High Price $9,028.00 / $15,131.00 / $21,396.00	Facility		$9,028.00	$15,131.00	$21,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,303.93 / $1,811.01 / $2,859.31	Professional		$1,303.93	$1,811.01	$2,859.31