Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.76 / $1,115.76 / $1,115.76	Facility		$1,115.76	$1,115.76	$1,115.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,115.76 / $1,427.31 / $1,427.31	Professional		$1,115.76	$1,427.31	$1,427.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $159.80 / $219.04	Professional		$119.85	$159.80	$219.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $163.71 / $163.71	Professional		$163.71	$163.71	$163.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $343.93 / $3,000.96	Professional		$183.43	$343.93	$3,000.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.71 / $1,263.11 / $1,852.58	Facility		$1,162.71	$1,263.11	$1,852.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $163.71 / $163.71	Professional		$163.71	$163.71	$163.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.67 / $1,232.08 / $2,208.71	Professional		$1,108.67	$1,232.08	$2,208.71