Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.93 / $1,174.93 / $1,174.93	Facility		$1,174.93	$1,174.93	$1,174.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.82 / $1,174.93 / $2,329.64	Professional		$1,148.82	$1,174.93	$2,329.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,406.09 / $1,768.53 / $2,462.12	Professional		$1,406.09	$1,768.53	$2,462.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.78 / $1,774.02 / $2,494.21	Professional		$1,194.78	$1,774.02	$2,494.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $412.95 / $2,207.73	Professional		$32.34	$412.95	$2,207.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,247.57 / $1,587.81 / $1,798.05	Facility		$1,247.57	$1,587.81	$1,798.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,360.08 / $1,858.50 / $2,494.21	Professional		$1,360.08	$1,858.50	$2,494.21
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 $1,458.20 / $1,913.45 / $3,084.96	Professional		$1,458.20	$1,913.45	$3,084.96