Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.75 / $2,437.50 / $4,875.00	Facility		$1,218.75	$2,437.50	$4,875.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.75 / $1,950.00 / $10,448.79	Professional		$1,218.75	$1,950.00	$10,448.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $1,329.25 / $1,625.00	Professional		$2.14	$1,329.25	$1,625.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.25 / $1,056.25 / $1,056.25	Facility		$1,056.25	$1,056.25	$1,056.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,456.10 / $1,867.59 / $2,334.48	Professional		$1,456.10	$1,867.59	$2,334.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $893.75 / $2,518.75 / $2,648.75	Professional		$893.75	$2,518.75	$2,648.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $1,543.75 / $1,950.00	Facility		$975.00	$1,543.75	$1,950.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,332.50 / $1,868.75 / $2,258.75	Professional		$1,332.50	$1,868.75	$2,258.75
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $682.50 / $975.00	Professional		$682.50	$682.50	$975.00