Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,185.47 / $7,838.38	Facility		$1,000.00	$5,185.47	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $391.85 / $525.25	Professional		$138.84	$391.85	$525.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,580.54 / $8,615.39 / $13,813.46	Facility		$2,580.54	$8,615.39	$13,813.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $331.62 / $620.37	Professional		$169.68	$331.62	$620.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.29 / $325.99 / $665.52	Professional		$185.29	$325.99	$665.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $312.14 / $524.67	Professional		$32.34	$312.14	$524.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.35 / $238.16 / $848.72	Facility		$83.35	$238.16	$848.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.14 / $325.99 / $708.52	Professional		$173.14	$325.99	$708.52
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 $533.12 / $641.58 / $888.56	Professional		$533.12	$641.58	$888.56