Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,096.48 / $7,762.47	Facility		$123.03	$1,096.48	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $389.05 / $1,096.48	Professional		$93.33	$389.05	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,466.84 / $7,244.36	Facility		$1,995.26	$4,466.84	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $478.63 / $776.25	Professional		$112.20	$478.63	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $1,047.13	Facility		$158.49	$158.49	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $1,000.00	Professional		$107.15	$204.17	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $891.25	Professional		$32.36	$33.11	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $331.13 / $1,096.48	Facility		$97.72	$331.13	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $309.03 / $1,122.02	Professional		$107.15	$309.03	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $6,760.83	Facility		$562.34	$3,467.37	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $426.58 / $1,122.02	Professional		$107.15	$426.58	$1,122.02