Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,850.39 / $2,478.82 / $2,478.82	Professional		$1,850.39	$2,478.82	$2,478.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.70 / $267.60 / $380.38	Professional		$200.70	$267.60	$380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Facility		$2,592.00	$2,592.00	$2,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $2,592.00 / $2,592.00	Professional		$267.95	$2,592.00	$2,592.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.12 / $505.42 / $5,556.12	Professional		$232.12	$505.42	$5,556.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,249.19 / $2,304.26 / $3,072.34	Facility		$2,249.19	$2,304.26	$3,072.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $2,592.00 / $2,592.00	Professional		$267.95	$2,592.00	$2,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.72 / $1,561.76 / $2,544.50	Professional		$1,277.72	$1,561.76	$2,544.50