Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,921.20	Facility		$1,000.00	$5,000.27	$7,921.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.78 / $897.36 / $1,170.03	Professional		$815.78	$897.36	$1,170.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,443.96 / $15,918.88 / $24,702.29	Facility		$4,443.96	$15,918.88	$24,702.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.06 / $1,086.78 / $1,651.14	Professional		$830.06	$1,086.78	$1,651.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.47 / $1,305.71 / $1,647.37	Professional		$870.47	$1,305.71	$1,647.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,403.85	Professional		$32.34	$32.34	$1,403.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $1,122.72 / $1,360.00	Facility		$847.00	$1,122.72	$1,360.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $894.78 / $1,349.23 / $2,202.82	Professional		$894.78	$1,349.23	$2,202.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $15,131.00 / $21,396.00	Facility		$1,035.00	$15,131.00	$21,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.56 / $1,273.80 / $1,817.07	Professional		$992.56	$1,273.80	$1,817.07