Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.66 / $2,737.33 / $5,474.64	Facility		$1,368.66	$2,737.33	$5,474.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.66 / $2,189.86 / $11,734.00	Professional		$1,368.66	$2,189.86	$11,734.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,737.32 / $10,073.34 / $16,355.49	Facility		$2,737.32	$10,073.34	$16,355.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,119.56 / $1,492.75 / $1,715.39	Professional		$1,119.56	$1,492.75	$1,715.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.17 / $1,186.17 / $1,186.17	Facility		$1,186.17	$1,186.17	$1,186.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,635.01 / $3,015.84 / $4,147.60	Professional		$1,635.01	$3,015.84	$4,147.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,828.56 / $2,974.55 / $2,974.55	Professional		$2,828.56	$2,974.55	$2,974.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,186.17 / $2,485.86 / $2,838.69	Facility		$1,186.17	$2,485.86	$2,838.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,098.61 / $2,457.35 / $3,574.33	Professional		$2,098.61	$2,457.35	$3,574.33
United Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,044.06 / $1,094.93	Professional		$766.45	$1,044.06	$1,094.93