Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.64 / $7,838.38 / $8,644.27	Facility		$1,148.64	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.36 / $1,091.58 / $1,563.47	Professional		$992.36	$1,091.58	$1,563.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,345.93 / $15,048.81 / $23,961.46	Facility		$4,345.93	$15,048.81	$23,961.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,210.81 / $1,210.81 / $3,456.15	Facility		$1,210.81	$1,210.81	$3,456.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.34 / $1,556.92 / $2,083.71	Professional		$1,061.34	$1,556.92	$2,083.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,669.63	Professional		$32.34	$32.34	$1,669.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,024.31 / $1,322.23 / $1,681.00	Facility		$1,024.31	$1,322.23	$1,681.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,147.16 / $1,670.91 / $2,805.75	Professional		$1,147.16	$1,670.91	$2,805.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,705.00 / $11,259.00 / $12,494.00	Facility		$1,705.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.20 / $1,572.07 / $2,288.08	Professional		$1,141.20	$1,572.07	$2,288.08