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 $1,550.89 / $1,664.79 / $3,109.92	Professional		$1,550.89	$1,664.79	$3,109.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,695.58 / $2,094.15 / $2,983.30	Professional		$1,695.58	$2,094.15	$2,983.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.35 / $2,683.34 / $3,333.34	Professional		$1,808.35	$2,683.34	$3,333.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,691.83	Professional		$32.34	$32.34	$2,691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,109.50 / $2,635.71 / $2,677.76	Facility		$2,109.50	$2,635.71	$2,677.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,057.23 / $2,543.33 / $3,333.34	Professional		$2,057.23	$2,543.33	$3,333.34
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 $2,025.09 / $2,718.04 / $4,041.08	Professional		$2,025.09	$2,718.04	$4,041.08