Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,154.14 / $4,225.35 / $4,225.35	Professional		$3,154.14	$4,225.35	$4,225.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.19 / $542.91 / $646.90	Professional		$407.19	$542.91	$646.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $2,900.00 / $2,900.00	Facility		$2,900.00	$2,900.00	$2,900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.34 / $2,900.00 / $2,900.00	Professional		$480.34	$2,900.00	$2,900.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $396.37 / $1,019.47 / $6,766.08	Professional		$396.37	$1,019.47	$6,766.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,860.57 / $3,307.68 / $5,237.06	Facility		$1,860.57	$3,307.68	$5,237.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $480.34 / $2,900.00 / $2,900.00	Professional		$480.34	$2,900.00	$2,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,442.59 / $2,860.46 / $4,341.33	Professional		$2,442.59	$2,860.46	$4,341.33