Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $5,672.98 / $5,672.98	Facility		$3,660.83	$5,672.98	$5,672.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,660.82 / $3,697.44 / $7,338.83	Professional		$3,660.82	$3,697.44	$7,338.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,000.99 / $7,212.10 / $12,368.16	Facility		$2,000.99	$7,212.10	$12,368.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,201.86 / $3,201.86 / $4,322.51	Professional		$3,201.86	$3,201.86	$4,322.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Facility		$3,660.83	$3,660.83	$3,660.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,405.51 / $1,405.51 / $1,405.51	Professional		$1,405.51	$1,405.51	$1,405.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.06 / $3,660.83 / $3,660.83	Facility		$423.06	$3,660.83	$3,660.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83
United Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83