Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,043.20 / $7,804.80 / $10,108.00	Facility		$4,043.20	$7,804.80	$10,108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.65 / $958.65 / $1,097.25	Professional		$958.65	$958.65	$1,097.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.97 / $5,049.07 / $8,227.40	Facility		$1,376.97	$5,049.07	$8,227.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $1,097.25	Facility		$981.75	$981.75	$1,097.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $962.50	Professional		$962.50	$962.50	$962.50