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 $1,004.66 / $1,179.78 / $1,682.44	Professional		$1,004.66	$1,179.78	$1,682.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.75 / $1,429.19 / $2,036.02	Professional		$895.75	$1,429.19	$2,036.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.30 / $1,325.30 / $1,325.30	Facility		$1,325.30	$1,325.30	$1,325.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.03 / $1,622.53 / $2,074.23	Professional		$1,138.03	$1,622.53	$2,074.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,844.75	Professional		$32.34	$32.34	$1,844.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $942.71 / $1,243.94 / $1,682.44	Facility		$942.71	$1,243.94	$1,682.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,242.01 / $1,735.75 / $2,941.47	Professional		$1,242.01	$1,735.75	$2,941.47
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 $1,192.39 / $1,603.28 / $2,388.55	Professional		$1,192.39	$1,603.28	$2,388.55