Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.32 / $5,000.27 / $7,838.38	Facility		$435.32	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.97 / $400.59 / $639.27	Professional		$296.97	$400.59	$639.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,524.05 / $8,426.79 / $13,511.07	Facility		$2,524.05	$8,426.79	$13,511.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.36 / $450.19 / $627.51	Professional		$239.36	$450.19	$627.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.20 / $529.34 / $699.01	Professional		$372.20	$529.34	$699.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $339.26 / $605.82	Professional		$32.34	$339.26	$605.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.44 / $382.37 / $538.89	Facility		$300.44	$382.37	$538.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.20 / $529.34 / $741.45	Professional		$372.20	$529.34	$741.45
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 $460.00 / $629.75 / $927.46	Professional		$460.00	$629.75	$927.46