Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $7,170.00 / $14,340.00	Facility		$3,585.00	$7,170.00	$14,340.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $5,736.00 / $30,735.40	Professional		$3,000.00	$5,736.00	$30,735.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $24,827.80 / $42,840.75	Facility		$4,780.00	$24,827.80	$42,840.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,541.53 / $3,910.04 / $4,780.00	Professional		$2,541.53	$3,910.04	$4,780.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $3,107.00 / $3,107.00	Facility		$3,107.00	$3,107.00	$3,107.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,283.02 / $5,492.49 / $6,865.61	Professional		$4,283.02	$5,492.49	$6,865.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,629.00 / $7,409.00 / $7,791.40	Professional		$2,629.00	$7,409.00	$7,791.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,490.00 / $4,541.00 / $5,736.00	Facility		$2,490.00	$4,541.00	$5,736.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,919.60 / $5,497.00 / $6,644.20	Professional		$3,919.60	$5,497.00	$6,644.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Facility		$4,780.00	$4,780.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,007.60 / $2,868.00	Professional		$2,007.60	$2,007.60	$2,868.00