Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.78 / $990.78 / $990.78	Facility		$990.78	$990.78	$990.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.78 / $996.80 / $4,248.00	Professional		$990.78	$996.80	$4,248.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.75 / $1,457.68 / $2,076.59	Professional		$1,192.75	$1,457.68	$2,076.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.27 / $1,548.56 / $2,175.64	Professional		$1,010.27	$1,548.56	$2,175.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $348.29 / $1,868.35	Professional		$32.34	$348.29	$1,868.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,057.74 / $1,346.23 / $1,495.86	Facility		$1,057.74	$1,346.23	$1,495.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,187.23 / $1,578.59 / $2,175.64	Professional		$1,187.23	$1,578.59	$2,175.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,136.66 / $3,503.00 / $12,671.00	Facility		$1,136.66	$3,503.00	$12,671.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,225.99 / $1,652.50 / $2,677.04	Professional		$1,225.99	$1,652.50	$2,677.04