Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,607.70 / $3,215.40 / $6,430.80	Facility		$1,607.70	$3,215.40	$6,430.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.70 / $2,572.32 / $13,783.30	Professional		$1,607.70	$2,572.32	$13,783.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.60 / $11,134.07 / $19,212.00	Facility		$2,143.60	$11,134.07	$19,212.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,139.75 / $1,753.46 / $2,143.60	Professional		$1,139.75	$1,753.46	$2,143.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.34 / $1,393.34 / $1,393.34	Facility		$1,393.34	$1,393.34	$1,393.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,920.58 / $2,463.13 / $3,078.92	Professional		$1,920.58	$2,463.13	$3,078.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,178.98 / $3,322.58 / $3,494.07	Professional		$1,178.98	$3,322.58	$3,494.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,286.16 / $2,036.42 / $2,572.32	Facility		$1,286.16	$2,036.42	$2,572.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $493.72 / $2,465.14 / $2,979.60	Professional		$493.72	$2,465.14	$2,979.60
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $602.10 / $1,286.16	Professional		$252.88	$602.10	$1,286.16