Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,884.03	Professional		$1,348.96	$1,905.46	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $288.40	Professional		$147.91	$199.53	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $302.00	Professional		$190.55	$302.00	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $457.09 / $5,495.41	Professional		$177.83	$457.09	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,698.24 / $1,995.26	Facility		$302.00	$1,698.24	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $1,445.44	Professional		$190.55	$257.04	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $2,754.23	Facility		$138.04	$204.17	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $338.84 / $1,905.46	Professional		$128.82	$338.84	$1,905.46