Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,762.47 / $12,589.25	Facility		$2,089.30	$7,762.47	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $6,760.83	Professional		$3,801.89	$3,890.45	$6,760.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $26,302.68 / $42,657.95	Facility		$11,748.98	$26,302.68	$42,657.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
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 $3,801.89 / $3,981.07 / $13,803.84	Facility		$3,801.89	$3,981.07	$13,803.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $41,686.94	Facility		$1,023.29	$15,135.61	$41,686.94