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 / $8,763.29	Facility		$1,000.00	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.99 / $1,116.66 / $1,794.60	Professional		$947.99	$1,116.66	$1,794.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,643.76 / $13,052.46 / $20,254.30	Facility		$3,643.76	$13,052.46	$20,254.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.78 / $1,318.52 / $1,878.35	Professional		$963.78	$1,318.52	$1,878.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,082.82 / $1,624.07 / $2,201.19	Professional		$1,082.82	$1,624.07	$2,201.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,700.69	Professional		$32.34	$32.34	$1,700.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $947.99 / $1,225.95 / $1,736.08	Facility		$947.99	$1,225.95	$1,736.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,120.05 / $1,694.38 / $2,626.95	Professional		$1,120.05	$1,694.38	$2,626.95
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $11,259.00 / $16,897.00	Facility		$899.00	$11,259.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,123.82 / $1,588.61 / $2,466.91	Professional		$1,123.82	$1,588.61	$2,466.91