Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $7,284.38 / $7,284.38	Facility		$4,686.85	$7,284.38	$7,284.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $5,952.30 / $10,493.60	Professional		$4,686.85	$5,952.30	$10,493.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,077.60 / $14,206.90 / $24,363.66	Facility		$4,077.60	$14,206.90	$24,363.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Facility		$4,686.85	$4,686.85	$4,686.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,768.69 / $2,768.69 / $2,768.69	Professional		$2,768.69	$2,768.69	$2,768.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,668.23 / $1,883.11 / $4,686.85	Facility		$1,668.23	$1,883.11	$4,686.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85