Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,064.94 / $4,129.88 / $8,259.75	Facility		$2,064.94	$4,129.88	$8,259.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,064.94 / $3,303.90 / $3,303.90	Professional		$2,064.94	$3,303.90	$3,303.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,753.25 / $14,300.66 / $24,676.00	Facility		$2,753.25	$14,300.66	$24,676.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,689.12 / $2,252.16 / $2,753.25	Professional		$1,689.12	$2,252.16	$2,753.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,789.61 / $1,789.61 / $1,789.61	Facility		$1,789.61	$1,789.61	$1,789.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,267.54 / $4,487.80 / $4,487.80	Professional		$4,267.54	$4,487.80	$4,487.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $1,789.61 / $2,753.25	Facility		$455.43	$1,789.61	$2,753.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,904.68 / $3,331.43 / $3,827.02	Professional		$2,904.68	$3,331.43	$3,827.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.36 / $1,156.36 / $1,651.95	Professional		$1,156.36	$1,156.36	$1,651.95