Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.84 / $810.84 / $810.84	Facility		$810.84	$810.84	$810.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.84 / $921.88 / $2,039.43	Professional		$810.84	$921.88	$2,039.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,170.82 / $1,251.57 / $1,808.36	Professional		$1,170.82	$1,251.57	$1,808.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.85 / $1,421.96 / $1,832.24	Professional		$826.85	$1,421.96	$1,832.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $279.75 / $1,498.90	Professional		$32.34	$279.75	$1,498.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,109.51 / $1,412.11 / $1,546.24	Facility		$1,109.51	$1,412.11	$1,546.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,011.05 / $1,318.76 / $1,832.24	Professional		$1,011.05	$1,318.76	$1,832.24
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 $1,227.59 / $1,515.25 / $2,231.55	Professional		$1,227.59	$1,515.25	$2,231.55