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 / $8,644.27	Facility		$1,000.00	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.57 / $800.97 / $1,310.07	Professional		$734.57	$800.97	$1,310.07
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 $969.90 / $969.90 / $969.90	Professional		$969.90	$969.90	$969.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.91 / $1,193.89 / $1,516.47	Professional		$706.91	$1,193.89	$1,516.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $231.74 / $1,241.52	Professional		$32.34	$231.74	$1,241.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.90 / $1,108.42 / $1,206.34	Facility		$870.90	$1,108.42	$1,206.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $920.29 / $1,200.36 / $1,516.47	Professional		$920.29	$1,200.36	$1,516.47
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 $920.21 / $1,242.28 / $1,875.14	Professional		$920.21	$1,242.28	$1,875.14