Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.49 / $7,685.00 / $8,644.27	Facility		$1,203.49	$7,685.00	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.70 / $1,794.38 / $6,072.86	Professional		$1,114.70	$1,794.38	$6,072.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,795.51 / $13,142.84 / $20,394.54	Facility		$3,795.51	$13,142.84	$20,394.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,004.93 / $1,340.09 / $1,786.66	Professional		$1,004.93	$1,340.09	$1,786.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,920.42 / $1,920.42 / $2,414.78	Professional		$1,920.42	$1,920.42	$2,414.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,600.97 / $2,161.30	Professional		$32.34	$1,600.97	$2,161.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,059.15 / $1,304.89 / $1,872.50	Facility		$1,059.15	$1,304.89	$1,872.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,120.96 / $2,120.96 / $2,120.96	Professional		$2,120.96	$2,120.96	$2,120.96
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $7,773.00 / $13,891.00	Facility		$790.00	$7,773.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.23 / $1,593.47 / $2,288.58	Professional		$1,144.23	$1,593.47	$2,288.58