Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,838.38 / $8,644.27	Facility		$1,000.00	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $133.19 / $578.00	Professional		$127.79	$133.19	$578.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,099.52 / $8,165.65 / $14,818.02	Facility		$3,099.52	$8,165.65	$14,818.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.29 / $165.29 / $165.29	Professional		$165.29	$165.29	$165.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.71 / $203.10 / $256.23	Professional		$155.71	$203.10	$256.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.49 / $211.22	Professional		$32.34	$39.49	$211.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.50 / $169.50 / $215.73	Facility		$145.50	$169.50	$215.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.71 / $203.10 / $256.23	Professional		$155.71	$203.10	$256.23
United Facility/Professional Facility Modifier Low / Median / High Price $6,602.00 / $9,127.00 / $10,150.00	Facility		$6,602.00	$9,127.00	$10,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.35 / $206.91 / $311.83	Professional		$163.35	$206.91	$311.83