Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $7,762.47	Facility		$1,659.59	$1,737.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,691.53	Professional		$1,096.48	$1,380.38	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,905.46	Professional		$1,023.29	$1,318.26	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,089.30	Professional		$1,318.26	$1,659.59	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,584.89	Professional		$32.36	$33.11	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $4,168.69	Facility		$1,148.15	$1,584.89	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,089.30	Professional		$1,258.93	$1,621.81	$2,089.30
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 $1,174.90 / $1,584.89 / $2,187.76	Professional		$1,174.90	$1,584.89	$2,187.76