Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.40 / $957.63 / $1,638.64	Professional		$890.40	$957.63	$1,638.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.24 / $1,343.90 / $1,717.36	Professional		$868.24	$1,343.90	$1,717.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.82 / $1,510.61 / $1,898.58	Professional		$1,045.82	$1,510.61	$1,898.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $288.03 / $1,552.90	Professional		$32.34	$288.03	$1,552.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.64 / $1,187.00 / $1,458.84	Facility		$932.64	$1,187.00	$1,458.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,158.59 / $1,511.22 / $1,898.58	Professional		$1,158.59	$1,511.22	$1,898.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,180.34 / $1,517.03 / $2,315.78	Professional		$1,180.34	$1,517.03	$2,315.78