Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,904.75 / $5,809.50 / $11,619.00	Facility		$2,904.75	$5,809.50	$11,619.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.75 / $4,647.60 / $24,903.40	Professional		$2,904.75	$4,647.60	$24,903.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,971.43 / $24,289.39 / $41,654.29	Facility		$6,971.43	$24,289.39	$41,654.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $2,517.44 / $2,517.44	Facility		$2,517.44	$2,517.44	$2,517.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,470.32 / $3,470.32 / $4,396.01	Professional		$3,470.32	$3,470.32	$4,396.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,003.15 / $6,312.99 / $6,312.99	Professional		$6,003.15	$6,312.99	$6,312.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $3,419.42 / $4,879.97	Facility		$2,517.44	$3,419.42	$4,879.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,607.49 / $4,686.33 / $5,383.47	Professional		$3,607.49	$4,686.33	$5,383.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,049.50 / $3,077.48 / $5,809.50	Facility		$2,049.50	$3,077.48	$5,809.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,356.52 / $1,520.63 / $2,323.80	Professional		$1,356.52	$1,520.63	$2,323.80