Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $2,708.14 / $9,532.62	Facility		$1,730.32	$2,708.14	$9,532.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.31 / $1,747.63 / $32,380.56	Professional		$1,730.31	$1,747.63	$32,380.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,220.07 / $4,250.89 / $7,289.92	Facility		$1,220.07	$4,250.89	$7,289.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,480.89 / $1,480.89 / $2,048.46	Professional		$1,480.89	$1,480.89	$2,048.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Facility		$1,730.32	$1,730.32	$1,730.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Professional		$1,730.32	$1,730.32	$1,730.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $828.42 / $828.42 / $828.42	Professional		$828.42	$828.42	$828.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.00 / $537.10 / $1,730.32	Facility		$295.00	$537.10	$1,730.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Professional		$1,730.32	$1,730.32	$1,730.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,670.30 / $1,670.30 / $1,670.30	Facility		$1,670.30	$1,670.30	$1,670.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Professional		$1,730.32	$1,730.32	$1,730.32