Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.12 / $3,575.80 / $8,644.27	Facility		$338.12	$3,575.80	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.31 / $646.23 / $2,599.90	Professional		$244.31	$646.23	$2,599.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,431.89 / $12,564.02 / $20,144.48	Facility		$5,431.89	$12,564.02	$20,144.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.43 / $1,480.90 / $3,367.97	Professional		$299.43	$1,480.90	$3,367.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.65 / $1,351.72 / $3,096.68	Professional		$363.65	$1,351.72	$3,096.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,694.65 / $2,857.99	Professional		$32.34	$1,694.65	$2,857.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $340.09 / $432.84 / $3,141.95	Facility		$340.09	$432.84	$3,141.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.65 / $1,351.72 / $3,485.19	Professional		$363.65	$1,351.72	$3,485.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $10,150.00	Facility		$6,602.00	$9,127.00	$10,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,885.14 / $2,780.49 / $4,029.78	Professional		$1,885.14	$2,780.49	$4,029.78