Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,436.67 / $1,924.60 / $1,924.60	Professional		$1,436.67	$1,924.60	$1,924.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.47 / $247.29 / $294.64	Professional		$185.47	$247.29	$294.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,406.76 / $1,406.76 / $1,406.76	Facility		$1,406.76	$1,406.76	$1,406.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.80 / $1,406.76 / $1,406.76	Professional		$218.80	$1,406.76	$1,406.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.54 / $464.35 / $3,082.04	Professional		$180.54	$464.35	$3,082.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.52 / $1,506.70 / $2,385.42	Facility		$847.52	$1,506.70	$2,385.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.80 / $1,406.76 / $1,406.76	Professional		$218.80	$1,406.76	$1,406.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,112.63 / $1,302.91 / $1,977.54	Professional		$1,112.63	$1,302.91	$1,977.54