Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.00 / $1,710.00 / $1,710.00	Facility		$1,710.00	$1,710.00	$1,710.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.80 / $1,710.00 / $7,438.76	Professional		$796.80	$1,710.00	$7,438.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,435.24 / $12,381.55 / $21,233.33	Facility		$3,435.24	$12,381.55	$21,233.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,412.96 / $2,412.96 / $2,412.96	Professional		$2,412.96	$2,412.96	$2,412.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.01 / $53.62 / $816.00	Facility		$34.01	$53.62	$816.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00