Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,762.47 / $8,912.51	Facility		$1,412.54	$7,762.47	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $4,265.80	Professional		$1,047.13	$1,230.27	$4,265.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $15,488.17 / $24,547.09	Facility		$6,309.57	$15,488.17	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,659.59	Professional		$851.14	$1,230.27	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,445.44 / $1,905.46	Professional		$776.25	$1,445.44	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,290.87	Facility		$1,023.29	$1,380.38	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $1,905.46	Professional		$776.25	$1,412.54	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $11,220.18 / $25,703.96	Facility		$891.25	$11,220.18	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,290.87	Professional		$1,071.52	$1,412.54	$2,290.87