Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,093.60 / $15,093.60 / $15,093.60	Facility		$15,093.60	$15,093.60	$15,093.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32,350.60 / $32,350.60 / $32,350.60	Professional		$32,350.60	$32,350.60	$32,350.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,086.64 / $4,115.52 / $5,031.20	Professional		$3,086.64	$4,115.52	$5,031.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,270.28 / $3,270.28 / $3,270.28	Facility		$3,270.28	$3,270.28	$3,270.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,507.82 / $4,507.82 / $5,710.47	Professional		$4,507.82	$4,507.82	$5,710.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,798.36 / $8,200.86 / $8,200.86	Professional		$7,798.36	$8,200.86	$8,200.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,270.28 / $3,270.28 / $5,031.20	Facility		$3,270.28	$3,270.28	$5,031.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,307.92 / $6,087.75 / $6,993.37	Professional		$5,307.92	$6,087.75	$6,993.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,113.10 / $2,113.10 / $3,018.72	Professional		$2,113.10	$2,113.10	$3,018.72