Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,580.75 / $1,722.16 / $2,480.00	Facility		$1,580.75	$1,722.16	$2,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.70 / $1,214.63 / $2,220.80	Professional		$1,101.70	$1,214.63	$2,220.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,146.88 / $7,480.00 / $12,827.58	Facility		$2,146.88	$7,480.00	$12,827.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.63 / $1,167.80 / $1,576.53	Professional		$656.63	$1,167.80	$1,576.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,457.72 / $1,457.72 / $1,457.72	Professional		$1,457.72	$1,457.72	$1,457.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,156.79 / $1,238.93 / $1,238.93	Facility		$1,156.79	$1,238.93	$1,238.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63