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 $1,042.75 / $1,239.97 / $2,027.11	Professional		$1,042.75	$1,239.97	$2,027.11
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 $879.17 / $1,487.19 / $2,118.63	Professional		$879.17	$1,487.19	$2,118.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.07 / $1,778.83 / $2,252.33	Professional		$1,184.07	$1,778.83	$2,252.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,921.04	Professional		$32.34	$32.34	$1,921.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,117.08 / $1,381.53 / $1,838.12	Facility		$1,117.08	$1,381.53	$1,838.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,218.89 / $1,838.12 / $3,014.56	Professional		$1,218.89	$1,838.12	$3,014.56
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 $1,283.45 / $1,778.20 / $2,862.54	Professional		$1,283.45	$1,778.20	$2,862.54