Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,838.38	Facility		$1,000.00	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.54 / $943.35 / $1,433.14	Professional		$847.54	$943.35	$1,433.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,172.50 / $10,591.71 / $16,982.18	Facility		$3,172.50	$10,591.71	$16,982.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.32 / $1,336.81 / $1,641.03	Professional		$776.32	$1,336.81	$1,641.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $251.43 / $1,358.15	Professional		$32.34	$251.43	$1,358.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $872.88 / $1,110.93 / $1,345.35	Facility		$872.88	$1,110.93	$1,345.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,024.89 / $1,336.81 / $1,641.03	Professional		$1,024.89	$1,336.81	$1,641.03
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $10,150.00	Facility		$6,602.00	$9,127.00	$10,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,362.96 / $1,993.17	Professional		$1,113.00	$1,362.96	$1,993.17