Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,095.00 / $3,827.74 / $8,763.29	Facility		$2,095.00	$3,827.74	$8,763.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,706.00 / $1,925.60 / $3,506.40	Professional		$1,706.00	$1,925.60	$3,506.40
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17,232.93 / $17,232.93 / $17,232.93	Professional		$17,232.93	$17,232.93	$17,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,500.00	Professional		$50.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,762.50 / $3,762.50 / $3,870.00	Facility		$3,762.50	$3,762.50	$3,870.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $17,232.93 / $17,232.93 / $17,232.93	Professional		$17,232.93	$17,232.93	$17,232.93
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 $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00