Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.00 / $7,838.38 / $8,763.29	Facility		$1,544.00	$7,838.38	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,917.60 / $1,917.60 / $1,917.60	Professional		$1,917.60	$1,917.60	$1,917.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,553.63 / $13,685.93 / $22,319.96	Facility		$5,553.63	$13,685.93	$22,319.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.27 / $1,359.03 / $2,025.84	Professional		$1,019.27	$1,359.03	$2,025.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,504.25 / $4,504.25 / $4,504.25	Professional		$4,504.25	$4,504.25	$4,504.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,500.00	Professional		$50.00	$70.00	$1,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,504.25 / $4,504.25 / $4,504.25	Professional		$4,504.25	$4,504.25	$4,504.25
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