Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,814.75 / $7,838.38 / $8,942.39	Facility		$1,814.75	$7,838.38	$8,942.39
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $600.59 / $600.59 / $600.59	Facility	52	$600.59	$600.59	$600.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.79 / $1,055.97 / $2,289.60	Professional		$907.79	$1,055.97	$2,289.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,788.36 / $14,509.34 / $23,263.50	Facility		$5,788.36	$14,509.34	$23,263.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.14 / $1,223.74 / $1,743.34	Professional		$860.14	$1,223.74	$1,743.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.88 / $1,439.14 / $1,835.18	Professional		$1,023.88	$1,439.14	$1,835.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $292.39 / $1,556.80	Professional		$32.34	$292.39	$1,556.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.91 / $1,103.33 / $1,384.25	Facility		$803.91	$1,103.33	$1,384.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,103.33 / $1,439.14 / $1,835.18	Professional		$1,103.33	$1,439.14	$1,835.18
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 $1,126.03 / $1,469.79 / $2,334.44	Professional		$1,126.03	$1,469.79	$2,334.44