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 $2,306.03 / $2,321.39 / $4,345.72	Professional		$2,306.03	$2,321.39	$4,345.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,416.12 / $3,611.07 / $5,152.89	Professional		$1,416.12	$3,611.07	$5,152.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,514.44 / $3,772.94 / $4,712.54	Professional		$2,514.44	$3,772.94	$4,712.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,731.20	Professional		$32.34	$32.34	$3,731.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,522.54 / $2,797.19 / $3,409.57	Facility		$1,522.54	$2,797.19	$3,409.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,892.59 / $3,523.37 / $4,712.54	Professional		$2,892.59	$3,523.37	$4,712.54
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 $2,850.77 / $3,837.59 / $5,773.32	Professional		$2,850.77	$3,837.59	$5,773.32