Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,257.44 / $3,257.44 / $3,257.44	Facility		$3,257.44	$3,257.44	$3,257.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,845.96 / $2,845.97 / $3,257.44	Professional		$2,845.96	$2,845.97	$3,257.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,134.00 / $15,158.55 / $24,700.65	Facility		$4,134.00	$15,158.55	$24,700.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,428.88 / $3,428.88 / $3,428.88	Professional		$3,428.88	$3,428.88	$3,428.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Facility		$2,914.55	$2,914.55	$2,914.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $2,806.98	Professional		$60.00	$85.00	$2,806.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $3,257.44	Facility		$2,914.55	$2,914.55	$3,257.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
United Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $2,857.40	Professional		$2,857.40	$2,857.40	$2,857.40