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 / $7,838.38	Facility		$1,000.00	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.30 / $948.54 / $1,713.05	Professional		$918.30	$948.54	$1,713.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $910.33 / $1,547.59 / $1,795.62	Professional		$910.33	$1,547.59	$1,795.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.81 / $1,496.90 / $1,891.14	Professional		$1,068.81	$1,496.90	$1,891.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $301.16 / $1,623.41	Professional		$32.34	$301.16	$1,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,013.73 / $1,290.21 / $1,432.19	Facility		$1,013.73	$1,290.21	$1,432.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,147.63 / $1,496.90 / $1,891.14	Professional		$1,147.63	$1,496.90	$1,891.14
United Facility/Professional Facility Modifier Low / Median / High Price $9,028.00 / $15,131.00 / $16,269.00	Facility		$9,028.00	$15,131.00	$16,269.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,167.33 / $1,492.49 / $2,370.79	Professional		$1,167.33	$1,492.49	$2,370.79