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 / $8,644.27	Facility		$1,000.00	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.72 / $2,202.60 / $7,041.77	Professional		$1,492.72	$2,202.60	$7,041.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.49 / $1,622.23 / $2,019.23	Professional		$1,048.49	$1,622.23	$2,019.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.26 / $1,758.00 / $2,417.48	Professional		$960.26	$1,758.00	$2,417.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,938.04 / $2,616.35	Professional		$32.34	$1,938.04	$2,616.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,163.90 / $1,513.16 / $2,350.00	Facility		$1,163.90	$1,513.16	$2,350.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $937.60 / $1,758.00 / $2,417.48	Professional		$937.60	$1,758.00	$2,417.48
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 $1,250.24 / $1,763.43 / $2,640.46	Professional		$1,250.24	$1,763.43	$2,640.46