Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $7,762.47	Facility		$1,778.28	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $3,019.95	Professional		$1,047.13	$1,288.25	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,089.30	Professional		$1,047.13	$1,479.11	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $2,290.87	Professional		$891.25	$1,698.24	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,737.80	Professional		$32.36	$33.11	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,754.23	Facility		$1,174.90	$1,659.59	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,659.59 / $2,290.87	Professional		$891.25	$1,659.59	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $7,762.47 / $13,803.84	Facility		$794.33	$7,762.47	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,691.53	Professional		$1,258.93	$1,659.59	$2,691.53