Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,280.00 / $10,560.00 / $10,560.00	Facility		$5,280.00	$10,560.00	$10,560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,515.00 / $4,515.00 / $4,515.00	Professional		$4,515.00	$4,515.00	$4,515.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,159.52 / $2,879.36 / $2,879.36	Professional		$2,159.52	$2,879.36	$2,879.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $2,288.00 / $2,288.00	Facility		$2,288.00	$2,288.00	$2,288.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,044.92 / $4,044.92 / $5,056.14	Professional		$4,044.92	$4,044.92	$5,056.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,936.00 / $1,936.00 / $1,936.00	Professional		$1,936.00	$1,936.00	$1,936.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $2,288.00 / $2,288.00	Facility		$2,288.00	$2,288.00	$2,288.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,886.40 / $3,520.00 / $3,520.00	Professional		$2,886.40	$3,520.00	$3,520.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $1,478.40 / $2,112.00	Professional		$1,478.40	$1,478.40	$2,112.00