Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,921.16 / $8,763.29	Facility		$1,000.00	$3,921.16	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.58 / $488.10 / $1,003.52	Professional		$298.58	$488.10	$1,003.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $132.52 / $222.97 / $379.83	Professional	52	$132.52	$222.97	$379.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.85 / $9,303.00 / $15,585.00	Facility		$3,877.85	$9,303.00	$15,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.05 / $458.41 / $620.47	Professional		$275.05	$458.41	$620.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.21 / $706.30 / $1,145.04	Professional		$398.21	$706.30	$1,145.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $119.10 / $626.55	Professional		$32.34	$119.10	$626.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.35 / $620.27 / $680.38	Facility		$487.35	$620.27	$680.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.21 / $759.61 / $1,145.04	Professional		$398.21	$759.61	$1,145.04
United Facility/Professional Facility Modifier Low / Median / High Price $6,295.00 / $9,127.00 / $10,150.00	Facility		$6,295.00	$9,127.00	$10,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.88 / $711.27 / $1,132.20	Professional		$565.88	$711.27	$1,132.20