Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.09 / $2,040.00 / $7,838.38	Facility		$372.09	$2,040.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.60 / $466.62 / $1,043.04	Professional		$355.60	$466.62	$1,043.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,208.62 / $7,647.84 / $11,867.62	Facility		$2,208.62	$7,647.84	$11,867.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $449.63 / $738.96	Professional		$269.77	$449.63	$738.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.26 / $618.14 / $891.75	Professional		$407.26	$618.14	$891.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $86.41 / $741.21	Professional		$32.34	$86.41	$741.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.15 / $538.36 / $735.78	Facility		$367.15	$538.36	$735.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $428.18 / $644.04 / $1,004.33	Professional		$428.18	$644.04	$1,004.33
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $6,599.00 / $8,422.00	Facility		$639.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.64 / $767.00 / $1,247.40	Professional		$539.64	$767.00	$1,247.40