Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,755.05 / $6,369.98 / $6,369.98	Professional		$4,755.05	$6,369.98	$6,369.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.86 / $818.48 / $975.23	Professional		$613.86	$818.48	$975.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,321.80 / $4,321.80 / $4,321.80	Facility		$4,321.80	$4,321.80	$4,321.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.15 / $724.15 / $4,321.80	Professional		$724.15	$724.15	$4,321.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $597.54 / $1,536.90 / $9,528.00	Professional		$597.54	$1,536.90	$9,528.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,857.20 / $5,024.21 / $7,895.18	Facility		$3,857.20	$5,024.21	$7,895.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.15 / $2,767.48 / $4,321.80	Professional		$724.15	$2,767.48	$4,321.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,678.20 / $2,896.60 / $4,363.39	Professional		$2,678.20	$2,896.60	$4,363.39