Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $7,762.47	Facility		$2,884.03	$4,073.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $13,182.57	Professional		$2,630.27	$3,388.44	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $4,570.88	Professional		$1,698.24	$3,162.28	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $5,011.87	Professional		$3,162.28	$4,073.80	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,801.89	Professional		$32.36	$33.11	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $10,000.00	Facility		$1,819.70	$3,630.78	$10,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $5,011.87	Professional		$3,090.30	$3,890.45	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $5,370.32	Professional		$2,818.38	$3,801.89	$5,370.32