Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,095.00 / $7,838.38	Facility		$1,000.00	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.80 / $1,552.60 / $2,721.37	Professional		$1,404.80	$1,552.60	$2,721.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,374.83 / $2,853.08 / $4,468.10	Professional		$1,374.83	$2,853.08	$4,468.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,558.79 / $2,338.17 / $2,964.28	Professional		$1,558.79	$2,338.17	$2,964.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,578.96	Professional		$32.34	$32.34	$2,578.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,480.05 / $2,017.47 / $3,196.00	Facility		$1,480.05	$2,017.47	$3,196.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,605.07 / $2,432.32 / $3,942.50	Professional		$1,605.07	$2,432.32	$3,942.50
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 $1,652.76 / $2,314.01 / $3,718.70	Professional		$1,652.76	$2,314.01	$3,718.70