Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Facility		$1,122.02	$1,122.02	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $602.56	Professional		$316.23	$316.23	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,884.03 / $4,786.30	Facility		$1,148.15	$2,884.03	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $758.58	Facility		$316.23	$398.11	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,513.56 / $1,513.56	Facility		$691.83	$1,513.56	$1,513.56