Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $1,740.00 / $3,480.00	Facility		$870.00	$1,740.00	$3,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,392.00 / $7,458.80	Professional		$870.00	$1,392.00	$7,458.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.00 / $6,258.90 / $10,396.50	Facility		$1,740.00	$6,258.90	$10,396.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.00 / $754.00 / $754.00	Facility		$754.00	$754.00	$754.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.35 / $1,039.35 / $1,039.35	Professional		$1,039.35	$1,039.35	$1,039.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,566.00 / $1,798.00 / $1,890.80	Professional		$1,566.00	$1,798.00	$1,890.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $754.00 / $1,160.00 / $1,461.60	Facility		$754.00	$1,160.00	$1,461.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,223.80 / $1,403.60 / $1,612.40	Professional		$1,223.80	$1,403.60	$1,612.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $1,044.00 / $1,044.00	Facility		$1,044.00	$1,044.00	$1,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $487.20 / $696.00	Professional		$487.20	$487.20	$696.00