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 / $8,644.27	Facility		$1,000.00	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.37 / $935.28 / $1,342.02	Professional		$830.37	$935.28	$1,342.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,345.93 / $15,048.81 / $23,961.46	Facility		$4,345.93	$15,048.81	$23,961.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $3,456.15	Facility		$1,043.05	$1,043.05	$3,456.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.28 / $1,288.31 / $1,654.54	Professional		$914.28	$1,288.31	$1,654.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,435.18	Professional		$32.34	$32.34	$1,435.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.23 / $1,105.02 / $1,425.36	Facility		$868.23	$1,105.02	$1,425.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $973.65 / $1,374.19 / $2,417.73	Professional		$973.65	$1,374.19	$2,417.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,705.00 / $11,259.00 / $12,494.00	Facility		$1,705.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $952.35 / $1,362.06 / $1,967.60	Professional		$952.35	$1,362.06	$1,967.60