Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.04 / $7,838.38 / $8,763.29	Facility		$438.04	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.75 / $438.04 / $896.61	Professional		$391.75	$438.04	$896.61
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 $443.05 / $513.79 / $818.50	Professional		$443.05	$513.79	$818.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.00 / $626.79 / $805.48	Professional		$429.00	$626.79	$805.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $664.31	Professional		$32.34	$32.34	$664.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.55 / $613.33 / $816.00	Facility		$407.55	$613.33	$816.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.27 / $670.02 / $1,038.33	Professional		$432.27	$670.02	$1,038.33
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 $513.49 / $653.53 / $999.55	Professional		$513.49	$653.53	$999.55