Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,715.35 / $3,801.89	Facility		$1,737.80	$3,715.35	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $7,585.78	Professional		$812.83	$1,096.48	$7,585.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,309.57 / $10,471.29	Facility		$2,884.03	$6,309.57	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,511.89	Professional		$1,548.82	$1,778.28	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,445.44 / $3,388.44	Facility		$776.25	$1,445.44	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,659.59	Professional		$1,047.13	$1,288.25	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $691.83	Professional		$489.78	$489.78	$691.83