Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.71 / $7,838.38 / $8,644.27	Facility		$1,653.71	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.83 / $1,458.81 / $2,978.23	Professional		$1,120.83	$1,458.81	$2,978.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.74 / $1,671.34 / $2,380.96	Professional		$1,104.74	$1,671.34	$2,380.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.02 / $1,755.68 / $2,519.19	Professional		$1,346.02	$1,755.68	$2,519.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $399.34 / $2,134.84	Professional		$32.34	$399.34	$2,134.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $984.61 / $1,346.02 / $1,788.28	Facility		$984.61	$1,346.02	$1,788.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,346.02 / $1,860.78 / $2,519.19	Professional		$1,346.02	$1,860.78	$2,519.19
United Facility/Professional Facility Modifier Low / Median / High Price $7,315.00 / $11,259.00 / $12,494.00	Facility		$7,315.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,448.06 / $1,993.67 / $2,820.30	Professional		$1,448.06	$1,993.67	$2,820.30