Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,412.54	Professional		$933.25	$1,148.15	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,011.87 / $8,128.31	Facility		$2,290.87	$5,011.87	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $4,570.88	Professional		$1,288.25	$1,949.84	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,862.09	Facility		$1,047.13	$1,258.93	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,290.87	Professional		$1,202.26	$1,819.70	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $3,715.35	Facility		$1,698.24	$3,715.35	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,630.27	Professional		$1,288.25	$1,737.80	$2,630.27