Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,175.28 / $7,838.38	Facility		$1,000.00	$3,175.28	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $146.19 / $563.00	Professional		$128.12	$146.19	$563.00
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 $92.46 / $210.19 / $299.44	Professional		$92.46	$210.19	$299.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $213.57 / $300.02	Professional		$147.88	$213.57	$300.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $150.66 / $265.58	Professional		$32.34	$150.66	$265.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.19 / $157.94 / $201.63	Facility		$133.19	$157.94	$201.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.82 / $213.62 / $303.00	Professional		$152.82	$213.62	$303.00
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 $163.76 / $223.44 / $321.52	Professional		$163.76	$223.44	$321.52