Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,352.98 / $3,152.12 / $3,152.12	Professional		$2,352.98	$3,152.12	$3,152.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.61 / $347.48 / $483.71	Professional		$260.61	$347.48	$483.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $2,673.00	Facility		$2,673.00	$2,673.00	$2,673.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.88 / $2,673.00 / $2,673.00	Professional		$343.88	$2,673.00	$2,673.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.51 / $656.31 / $6,815.52	Professional		$268.51	$656.31	$6,815.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,759.04 / $3,906.85	Facility		$2,673.00	$2,759.04	$3,906.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.88 / $2,673.00 / $2,673.00	Professional		$343.88	$2,673.00	$2,673.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,678.96 / $1,931.08 / $3,121.10	Professional		$1,678.96	$1,931.08	$3,121.10