Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,838.38	Facility		$1,000.00	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.77 / $253.84 / $1,005.00	Professional		$230.77	$253.84	$1,005.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,959.63 / $9,881.04 / $15,842.73	Facility		$2,959.63	$9,881.04	$15,842.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.68 / $299.45 / $467.03	Professional		$241.68	$299.45	$467.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.81 / $379.32 / $475.42	Professional		$290.81	$379.32	$475.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $71.55 / $386.10	Professional		$32.34	$71.55	$386.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $285.45 / $363.31 / $380.75	Facility		$285.45	$363.31	$380.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.81 / $379.32 / $475.42	Professional		$290.81	$379.32	$475.42
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 $291.54 / $390.50 / $575.11	Professional		$291.54	$390.50	$575.11