Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,821.47 / $7,838.38	Facility		$1,000.00	$2,821.47	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,646.94 / $2,821.47 / $13,495.00	Professional		$2,646.94	$2,821.47	$13,495.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,626.26 / $3,804.15 / $8,487.04	Professional		$3,626.26	$3,804.15	$8,487.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.67 / $4,529.50 / $5,698.46	Professional		$3,019.67	$4,529.50	$5,698.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,893.60	Professional		$32.34	$32.34	$4,893.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,844.36 / $3,452.54 / $4,680.49	Facility		$2,844.36	$3,452.54	$4,680.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,057.10 / $4,680.49 / $7,463.36	Professional		$3,057.10	$4,680.49	$7,463.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $5,089.00 / $17,636.00	Facility		$3,085.00	$5,089.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,165.21 / $4,437.01 / $6,947.99	Professional		$3,165.21	$4,437.01	$6,947.99