Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.86 / $7,838.38 / $8,763.29	Facility		$466.86	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.36 / $368.56 / $466.86	Professional		$326.36	$368.56	$466.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,735.95 / $15,811.44 / $25,351.22	Facility		$4,735.95	$15,811.44	$25,351.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.28 / $453.28 / $453.28	Professional		$453.28	$453.28	$453.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.93 / $545.13 / $689.45	Professional		$417.93	$545.13	$689.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $108.30 / $579.74	Professional		$32.34	$108.30	$579.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.65 / $479.37 / $540.09	Facility		$376.65	$479.37	$540.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.93 / $545.13 / $689.45	Professional		$417.93	$545.13	$689.45
United Facility/Professional Facility Modifier Low / Median / High Price $9,028.00 / $15,131.00 / $16,269.00	Facility		$9,028.00	$15,131.00	$16,269.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.98 / $567.32 / $864.28	Professional		$442.98	$567.32	$864.28