Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.43 / $827.43 / $827.43	Facility		$827.43	$827.43	$827.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.43 / $935.05 / $1,173.15	Professional		$827.43	$935.05	$1,173.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,443.91 / $5,294.55 / $8,627.39	Facility		$1,443.91	$5,294.55	$8,627.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $199.93 / $435.52	Professional		$140.38	$199.93	$435.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,032.83 / $1,453.17 / $1,967.76	Professional		$1,032.83	$1,453.17	$1,967.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.00 / $562.84	Professional		$32.34	$70.00	$562.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.61 / $1,172.30 / $1,433.83	Facility		$532.61	$1,172.30	$1,433.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,066.82 / $1,541.52 / $2,250,000.00	Professional		$1,066.82	$1,541.52	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $778.26 / $2,196.00 / $3,425.76	Professional		$778.26	$2,196.00	$3,425.76