Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.84 / $7,838.38 / $7,838.38	Facility		$786.84	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.84 / $899.61 / $1,510.25	Professional		$786.84	$899.61	$1,510.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,118.95 / $1,118.95 / $1,118.95	Professional		$1,118.95	$1,118.95	$1,118.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.30 / $1,331.14 / $1,668.44	Professional		$798.30	$1,331.14	$1,668.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $267.35 / $1,431.22	Professional		$32.34	$267.35	$1,431.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.05 / $1,134.07 / $1,300.18	Facility		$891.05	$1,134.07	$1,300.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.54 / $1,331.14 / $1,668.44	Professional		$1,020.54	$1,331.14	$1,668.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.45 / $1,365.52 / $2,102.77	Professional		$1,053.45	$1,365.52	$2,102.77