Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,790.30 / $8,763.29	Facility		$1,000.00	$1,790.30	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $101.73 / $188.65	Professional		$81.31	$101.73	$188.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.77 / $11,904.68 / $19,087.33	Facility		$3,565.77	$11,904.68	$19,087.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $113.47 / $179.55	Professional		$113.47	$113.47	$179.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.53 / $142.36 / $271.66	Professional		$89.53	$142.36	$271.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $128.69 / $223.90	Professional		$32.34	$128.69	$223.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $101.35 / $143.88	Facility		$79.30	$101.35	$143.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $147.74 / $271.66	Professional		$93.43	$147.74	$271.66
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $13,891.00	Facility		$6,602.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $169.04 / $254.75	Professional		$113.85	$169.04	$254.75