Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $2,901.50 / $2,901.50	Facility		$1,828.72	$2,901.50	$2,901.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $2,322.46 / $7,974.62	Professional		$1,828.72	$2,322.46	$7,974.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,739.68 / $13,302.04 / $22,344.59	Facility		$3,739.68	$13,302.04	$22,344.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,828.71	Facility		$1,828.71	$1,828.71	$1,828.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,828.71	Professional		$1,828.71	$1,828.71	$1,828.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,539.24 / $2,539.24 / $2,539.24	Professional		$2,539.24	$2,539.24	$2,539.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $2,216.80	Facility		$1,828.71	$1,828.71	$2,216.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,828.71	Professional		$1,828.71	$1,828.71	$1,828.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,828.72	Professional		$1,828.72	$1,828.72	$1,828.72