Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,095.00 / $7,838.38	Facility		$1,000.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.77 / $1,115.80 / $4,928.00	Professional		$954.77	$1,115.80	$4,928.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,310.83 / $19,473.73 / $31,732.18	Facility		$5,310.83	$19,473.73	$31,732.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.61 / $1,331.73 / $1,657.65	Professional		$879.61	$1,331.73	$1,657.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.98 / $1,534.99 / $1,976.09	Professional		$896.98	$1,534.99	$1,976.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,720.38	Professional		$32.34	$32.34	$1,720.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,005.05 / $1,237.54 / $1,478.04	Facility		$1,005.05	$1,237.54	$1,478.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.32 / $1,617.39 / $2,709.12	Professional		$1,023.32	$1,617.39	$2,709.12
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 $1,086.98 / $1,590.54 / $2,564.35	Professional		$1,086.98	$1,590.54	$2,564.35