Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.45 / $3,807.87 / $7,838.38	Facility		$291.45	$3,807.87	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $3,422.55 / $4,973.06	Professional		$230.93	$3,422.55	$4,973.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,530.68 / $25,263.22 / $42,322.62	Facility		$10,530.68	$25,263.22	$42,322.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.01 / $3,439.66 / $4,963.22	Professional		$309.01	$3,439.66	$4,963.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.55 / $2,835.68 / $6,018.72	Professional		$342.55	$2,835.68	$6,018.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,497.32 / $4,259.45	Professional		$32.34	$2,497.32	$4,259.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.58 / $267.58 / $4,143.16	Facility		$267.58	$267.58	$4,143.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.05 / $2,835.68 / $6,407.00	Professional		$306.05	$2,835.68	$6,407.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $13,891.00	Facility		$6,602.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,995.53 / $5,922.38 / $8,270.90	Professional		$4,995.53	$5,922.38	$8,270.90