Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,762.47 / $8,709.64	Facility		$1,548.82	$7,762.47	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $13,489.63 / $21,877.62	Facility		$6,165.95	$13,489.63	$21,877.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $11,220.18	Facility		$6,606.93	$6,606.93	$11,220.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,025.60 / $16,982.44	Facility		$645.65	$6,025.60	$16,982.44