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 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.85 / $1,331.26 / $2,231.19	Professional		$1,260.85	$1,331.26	$2,231.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,188.51 / $1,890.55 / $3,009.49	Professional		$1,188.51	$1,890.55	$3,009.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $2,116.76 / $2,612.33	Professional		$1,303.95	$2,116.76	$2,612.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,957.96	Professional		$32.34	$32.34	$1,957.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,306.26 / $1,662.51 / $2,014.85	Facility		$1,306.26	$1,662.51	$2,014.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,504.18 / $1,844.63 / $2,612.33	Professional		$1,504.18	$1,844.63	$2,612.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,607.34 / $2,018.52 / $2,628.72	Professional		$1,607.34	$2,018.52	$2,628.72