Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.06 / $1,149.59 / $2,573.98	Professional		$1,084.06	$1,149.59	$2,573.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,925.42 / $7,018.11 / $11,757.21	Facility		$2,925.42	$7,018.11	$11,757.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,078.98 / $1,436.88 / $2,026.50	Professional		$1,078.98	$1,436.88	$2,026.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.58 / $1,715.50 / $2,174.58	Professional		$1,039.58	$1,715.50	$2,174.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,818.23	Professional		$32.34	$32.34	$1,818.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,203.08 / $1,531.19 / $1,703.61	Facility		$1,203.08	$1,531.19	$1,703.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,315.22 / $1,715.50 / $2,174.58	Professional		$1,315.22	$1,715.50	$2,174.58
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 $1,326.93 / $1,782.56 / $2,711.28	Professional		$1,326.93	$1,782.56	$2,711.28