Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.91 / $1,646.92 / $1,646.92	Facility		$1,264.91	$1,646.92	$1,646.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,581.63 / $2,813.52 / $4,694.39	Professional		$2,581.63	$2,813.52	$4,694.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,858.82 / $10,482.71 / $17,081.45	Facility		$2,858.82	$10,482.71	$17,081.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Facility		$2,643.84	$2,643.84	$2,643.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,500.00 / $1,941.13	Professional		$85.00	$1,500.00	$1,941.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,813.52	Facility		$2,643.84	$2,643.84	$2,813.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Professional		$2,592.00	$2,592.00	$2,592.00