Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $7,762.47	Facility		$1,778.28	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,290.87	Professional		$1,023.29	$1,202.26	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $1,819.70	Professional		$891.25	$1,445.44	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,041.74	Professional		$1,122.02	$1,513.56	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,290.87	Facility		$1,071.52	$1,412.54	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,570.40	Professional		$1,148.15	$1,584.89	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $5,011.87 / $17,782.79	Facility		$562.34	$5,011.87	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,344.23	Professional		$1,122.02	$1,548.82	$2,344.23