Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,545.00 / $9,090.00 / $9,090.00	Facility		$4,545.00	$9,090.00	$9,090.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,272.50 / $2,272.50 / $4,145.00	Professional		$2,272.50	$2,272.50	$4,145.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,478.54 / $2,478.54 / $3,030.00	Professional		$2,478.54	$2,478.54	$3,030.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.50 / $1,969.50 / $1,969.50	Facility		$1,969.50	$1,969.50	$1,969.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,090.50 / $4,696.50 / $4,938.89	Professional		$4,090.50	$4,696.50	$4,938.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,969.50 / $1,969.50 / $3,030.00	Facility		$1,969.50	$1,969.50	$3,030.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,196.65 / $3,666.30 / $4,211.70	Professional		$3,196.65	$3,666.30	$4,211.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.59 / $1,272.59 / $1,818.00	Professional		$1,272.59	$1,272.59	$1,818.00