Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.63 / $7,838.38 / $8,226.04	Facility		$866.63	$7,838.38	$8,226.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.51 / $666.74 / $1,348.26	Professional		$630.51	$666.74	$1,348.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,727.49 / $21,001.58 / $34,221.78	Facility		$5,727.49	$21,001.58	$34,221.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $864.31 / $1,904.06	Professional		$220.00	$864.31	$1,904.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,358.33	Professional		$50.00	$85.00	$1,358.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $863.26 / $863.26 / $863.26	Facility		$863.26	$863.26	$863.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $838.54 / $1,479.80	Professional		$220.00	$838.54	$1,479.80
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $8,842.00 / $16,897.00	Facility		$899.00	$8,842.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $918.18 / $1,192.71 / $1,730.57	Professional		$918.18	$1,192.71	$1,730.57