Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $103.04 / $309.02	Professional		$91.09	$103.04	$309.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,439.53 / $3,769.25 / $6,043.41	Facility		$1,439.53	$3,769.25	$6,043.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $163.49 / $272.49	Professional		$111.49	$163.49	$272.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.55 / $164.89 / $482.44	Professional		$110.55	$164.89	$482.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.04 / $285.24	Professional		$32.34	$57.04	$285.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.27 / $389.34 / $495.52	Facility		$136.27	$389.34	$495.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.81 / $164.89 / $482.44	Professional		$110.81	$164.89	$482.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.32 / $388.69 / $529.79	Professional		$131.32	$388.69	$529.79