Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,949.84 / $7,762.47	Facility		$1,905.46	$1,949.84	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $6,309.57	Professional		$1,258.93	$1,621.81	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,454.71	Professional		$1,174.90	$1,548.82	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,454.71	Professional		$1,584.89	$2,137.96	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $4,897.79	Facility		$1,258.93	$2,041.74	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,454.71	Professional		$1,513.56	$1,995.26	$2,454.71
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 $1,479.11 / $2,041.74 / $2,630.27	Professional		$1,479.11	$2,041.74	$2,630.27