Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.28 / $1,274.48 / $1,975.18	Professional		$960.28	$1,274.48	$1,975.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,345.93 / $14,509.34 / $23,263.50	Facility		$4,345.93	$14,509.34	$23,263.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,141.69 / $1,489.16 / $2,181.17	Professional		$1,141.69	$1,489.16	$2,181.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $345.40 / $1,842.96	Professional		$32.34	$345.40	$1,842.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $777.32 / $1,141.69 / $1,471.23	Facility		$777.32	$1,141.69	$1,471.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,141.69 / $1,572.83 / $2,181.17	Professional		$1,141.69	$1,572.83	$2,181.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.52 / $1,682.66 / $2,416.67	Professional		$1,160.52	$1,682.66	$2,416.67