Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,864.94 / $6,121.80	Facility		$1,000.00	$2,864.94	$6,121.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.34 / $410.58 / $1,136.26	Professional		$383.34	$410.58	$1,136.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.76 / $8,308.95 / $13,322.14	Facility		$2,488.76	$8,308.95	$13,322.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.53 / $539.78 / $768.97	Professional		$374.53	$539.78	$768.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.75 / $627.11 / $802.34	Professional		$459.75	$627.11	$802.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $128.97 / $696.27	Professional		$32.34	$128.97	$696.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.48 / $502.07 / $589.64	Facility		$394.48	$502.07	$589.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $480.79 / $627.11 / $802.34	Professional		$480.79	$627.11	$802.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.50 / $636.51 / $1,026.21	Professional		$488.50	$636.51	$1,026.21