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 / $8,882.33	Facility		$1,000.00	$7,838.38	$8,882.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.77 / $831.91 / $1,073.01	Professional		$613.77	$831.91	$1,073.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,008.41 / $40,091.29 / $64,280.24	Facility		$12,008.41	$40,091.29	$64,280.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $1,294.93 / $2,133.19	Professional		$555.00	$1,294.93	$2,133.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $222.15 / $1,110.76	Professional		$32.34	$222.15	$1,110.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,015.38 / $1,294.93 / $1,639.55	Facility		$1,015.38	$1,294.93	$1,639.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $773.87 / $1,294.93 / $2,133.19	Professional		$773.87	$1,294.93	$2,133.19
United Facility/Professional Facility Modifier Low / Median / High Price $7,315.00 / $11,259.00 / $12,494.00	Facility		$7,315.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,737.54 / $2,560.40	Professional		$1,305.00	$1,737.54	$2,560.40