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 $1,455.72 / $1,694.71 / $2,472.53	Professional		$1,455.72	$1,694.71	$2,472.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,547.75 / $2,055.07 / $2,894.23	Professional		$1,547.75	$2,055.07	$2,894.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,882.07 / $1,882.07 / $1,882.07	Facility		$1,882.07	$1,882.07	$1,882.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,687.87 / $2,387.08 / $3,048.32	Professional		$1,687.87	$2,387.08	$3,048.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,616.64	Professional		$32.34	$32.34	$2,616.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,456.48 / $1,853.70 / $2,472.53	Facility		$1,456.48	$1,853.70	$2,472.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,757.14 / $2,546.21 / $4,293.45	Professional		$1,757.14	$2,546.21	$4,293.45
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,706.05 / $2,369.50 / $3,791.99	Professional		$1,706.05	$2,369.50	$3,791.99