Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.96 / $4,132.22 / $9,868.60	Facility		$517.96	$4,132.22	$9,868.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.29 / $1,763.91 / $2,276.39	Professional		$389.29	$1,763.91	$2,276.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,766.73 / $9,036.44 / $15,138.43	Facility		$3,766.73	$9,036.44	$15,138.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.90 / $1,647.47 / $2,685.78	Professional		$458.90	$1,647.47	$2,685.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.30 / $1,350.34 / $2,928.80	Professional		$436.30	$1,350.34	$2,928.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,334.21	Professional		$32.34	$32.34	$2,334.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $464.43 / $464.43 / $2,284.83	Facility		$464.43	$464.43	$2,284.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.30 / $1,350.34 / $3,145.49	Professional		$436.30	$1,350.34	$3,145.49
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 $2,342.25 / $2,862.72 / $4,111.96	Professional		$2,342.25	$2,862.72	$4,111.96