Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.77 / $1,670.20 / $1,670.20	Professional		$1,246.77	$1,670.20	$1,670.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.82 / $211.76 / $256.39	Professional		$158.82	$211.76	$256.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,350.00	Facility		$1,350.00	$1,350.00	$1,350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.56 / $1,350.00 / $1,350.00	Professional		$209.56	$1,350.00	$1,350.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.35 / $582.48 / $3,810.36	Professional		$156.35	$582.48	$3,810.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $906.22 / $1,350.00 / $2,070.11	Facility		$906.22	$1,350.00	$2,070.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.56 / $1,350.00 / $1,350.00	Professional		$209.56	$1,350.00	$1,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,189.70 / $1,333.56 / $2,114.51	Professional		$1,189.70	$1,333.56	$2,114.51