Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,715.35 / $7,762.47	Facility		$2,137.96	$3,715.35	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $4,570.88	Professional		$1,995.26	$2,290.87	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $3,801.89	Professional		$1,905.46	$2,884.03	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $7,585.78	Professional		$1,905.46	$3,235.94	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $4,570.88	Facility		$2,187.76	$2,818.38	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $5,370.32	Professional		$2,290.87	$3,548.13	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $4,570.88	Professional		$2,187.76	$3,162.28	$4,570.88