Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.59 / $197.94 / $769.00	Professional		$186.59	$197.94	$769.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,026.76 / $6,766.52 / $10,849.08	Facility		$2,026.76	$6,766.52	$10,849.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $245.42 / $285.37	Professional		$163.80	$245.42	$285.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.62 / $278.63 / $364.75	Professional		$213.62	$278.63	$364.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.64 / $314.54	Professional		$32.34	$58.64	$314.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.14 / $229.88 / $273.69	Facility		$178.14	$229.88	$273.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.62 / $278.63 / $364.75	Professional		$213.62	$278.63	$364.75
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 $211.74 / $278.32 / $444.77	Professional		$211.74	$278.32	$444.77