Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.11 / $1,586.10 / $7,838.38	Facility		$415.11	$1,586.10	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.76 / $393.63 / $1,151.11	Professional		$223.76	$393.63	$1,151.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.19 / $7,859.75 / $12,601.90	Facility		$2,354.19	$7,859.75	$12,601.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $393.75 / $560.92	Professional		$275.79	$393.75	$560.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $422.84 / $665.02	Professional		$276.68	$422.84	$665.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $332.48 / $554.13	Professional		$32.34	$332.48	$554.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.69 / $479.61 / $761.63	Facility		$183.69	$479.61	$761.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $422.84 / $685.12	Professional		$276.68	$422.84	$685.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,097.02 / $6,599.00 / $7,158.00	Facility		$4,097.02	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.67 / $625.77 / $884.59	Professional		$505.67	$625.77	$884.59