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 / $8,763.29	Facility		$1,000.00	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $1,603.19 / $3,342.79	Professional		$312.25	$1,603.19	$3,342.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,718.40 / $1,806.89 / $2,710.34	Professional	50	$1,718.40	$1,806.89	$2,710.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,147.25 / $18,873.93 / $30,754.82	Facility		$5,147.25	$18,873.93	$30,754.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.45 / $1,558.85 / $3,238.15	Professional		$449.45	$1,558.85	$3,238.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.11 / $650.15 / $2,886.90	Professional		$395.11	$650.15	$2,886.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $325.86 / $2,872.24	Professional		$32.34	$325.86	$2,872.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.64 / $1,536.89 / $5,113.42	Facility		$293.64	$1,536.89	$5,113.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $421.25 / $948.82 / $4,296.43	Professional		$421.25	$948.82	$4,296.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $15,131.00 / $21,396.00	Facility		$1,035.00	$15,131.00	$21,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,010.55 / $2,827.55 / $4,061.39	Professional		$2,010.55	$2,827.55	$4,061.39