Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $7,762.47	Facility		$1,122.02	$1,380.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,412.54	Professional		$676.08	$776.25	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $16,218.10 / $25,703.96	Facility		$4,570.88	$16,218.10	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $2,570.40	Professional		$630.96	$1,047.13	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $1,513.56	Facility		$660.69	$891.25	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,778.28	Professional		$691.83	$1,122.02	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $31,622.78	Facility		$1,023.29	$15,135.61	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,479.11	Professional		$724.44	$1,023.29	$1,479.11