Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.74 / $7,838.38 / $8,763.29	Facility		$398.74	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.14 / $398.74 / $636.88	Professional		$356.14	$398.74	$636.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,133.80 / $18,389.97 / $28,536.83	Facility		$5,133.80	$18,389.97	$28,536.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.45 / $467.26 / $581.62	Professional		$371.45	$467.26	$581.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.19 / $603.28 / $741.70	Professional		$402.19	$603.28	$741.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $603.55	Professional		$32.34	$32.34	$603.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.28 / $616.88 / $799.00	Facility		$370.28	$616.88	$799.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.19 / $623.39 / $945.37	Professional		$402.19	$623.39	$945.37
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 $478.63 / $584.48 / $910.44	Professional		$478.63	$584.48	$910.44