Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $7,762.47	Facility		$1,096.48	$1,148.15	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,949.84	Professional		$741.31	$954.99	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,549.93 / $15,488.17	Facility		$4,265.80	$9,549.93	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,174.90 / $1,479.11	Professional		$630.96	$1,174.90	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,995.26	Facility		$870.96	$1,174.90	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,148.15 / $1,479.11	Professional		$630.96	$1,148.15	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,606.93 / $15,488.17	Facility		$645.65	$6,606.93	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,778.28	Professional		$891.25	$1,202.26	$1,778.28