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 $1,097.34 / $1,120.25 / $2,079.82	Professional		$1,097.34	$1,120.25	$2,079.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,152.72 / $1,561.62 / $1,995.57	Professional		$1,152.72	$1,561.62	$1,995.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,213.02 / $1,775.52 / $2,304.19	Professional		$1,213.02	$1,775.52	$2,304.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,800.55	Professional		$32.34	$32.34	$1,800.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,284.40 / $1,634.70 / $1,772.05	Facility		$1,284.40	$1,634.70	$1,772.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,364.66 / $1,701.27 / $2,304.19	Professional		$1,364.66	$1,701.27	$2,304.19
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 $1,352.79 / $1,793.23 / $2,745.25	Professional		$1,352.79	$1,793.23	$2,745.25