Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,595.98 / $3,477.65 / $3,477.65	Professional		$2,595.98	$3,477.65	$3,477.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.26 / $391.01 / $533.70	Professional		$293.26	$391.01	$533.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,621.85 / $3,621.85 / $3,621.85	Facility		$3,621.85	$3,621.85	$3,621.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $3,621.85 / $3,621.85	Professional		$386.96	$3,621.85	$3,621.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.15 / $738.52 / $7,254.36	Professional		$302.15	$738.52	$7,254.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,936.64 / $2,938.86 / $4,310.33	Facility		$2,936.64	$2,938.86	$4,310.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $3,621.85 / $3,621.85	Professional		$386.96	$3,621.85	$3,621.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,510.76 / $2,039.08 / $3,322.10	Professional		$1,510.76	$2,039.08	$3,322.10