Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.51 / $7,838.38 / $7,838.38	Facility		$633.51	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.27 / $580.87 / $977.30	Professional		$551.27	$580.87	$977.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,929.67 / $16,458.21 / $26,388.22	Facility		$4,929.67	$16,458.21	$26,388.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.32 / $720.32 / $720.32	Professional		$720.32	$720.32	$720.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.40 / $870.79 / $1,105.13	Professional		$627.40	$870.79	$1,105.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $172.11 / $926.17	Professional		$32.34	$172.11	$926.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $601.21 / $765.18 / $838.77	Facility		$601.21	$765.18	$838.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $667.61 / $870.79 / $1,105.13	Professional		$667.61	$870.79	$1,105.13
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 $680.92 / $914.68 / $1,365.66	Professional		$680.92	$914.68	$1,365.66