Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,841.06 / $1,841.06 / $1,841.06	Facility		$1,841.06	$1,841.06	$1,841.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,841.06 / $2,406.05 / $2,406.05	Professional		$1,841.06	$2,406.05	$2,406.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $198.45 / $369.00	Professional		$148.84	$198.45	$369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $192.51 / $192.51	Professional		$192.51	$192.51	$192.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.24 / $664.20 / $7,517.04	Professional		$354.24	$664.20	$7,517.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $671.26 / $2,354.80 / $3,056.86	Facility		$671.26	$2,354.80	$3,056.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $192.51 / $2,354.80	Professional		$192.51	$192.51	$2,354.80
United Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $358.54 / $3,585.42	Professional		$163.19	$358.54	$3,585.42