Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,206.26 / $4,206.26 / $4,206.26	Facility		$4,206.26	$4,206.26	$4,206.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,725.03 / $3,705.23	Professional		$2,698.05	$2,725.03	$3,705.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,781.13 / $12,145.93 / $19,791.62	Facility		$4,781.13	$12,145.93	$19,791.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,658.13 / $2,698.05 / $3,322.66	Facility		$2,658.13	$2,698.05	$3,322.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Professional		$2,698.05	$2,698.05	$2,698.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,658.13 / $3,588.47 / $4,651.72	Professional		$2,658.13	$3,588.47	$4,651.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,426.53	Facility		$2,698.05	$2,698.05	$3,426.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,322.66	Professional		$2,698.05	$2,698.05	$3,322.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,859.93	Professional		$2,698.05	$2,698.05	$2,859.93