Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,762.68 / $6,380.20 / $6,380.20	Professional		$4,762.68	$6,380.20	$6,380.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.85 / $819.80 / $976.80	Professional		$614.85	$819.80	$976.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,978.93 / $4,978.93 / $4,978.93	Facility		$4,978.93	$4,978.93	$4,978.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.31 / $725.31 / $4,978.93	Professional		$725.31	$725.31	$4,978.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $598.51 / $2,254.94 / $9,543.24	Professional		$598.51	$2,254.94	$9,543.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,863.36 / $5,032.27 / $7,907.86	Facility		$3,863.36	$5,032.27	$7,907.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $725.31 / $2,771.92 / $4,978.93	Professional		$725.31	$2,771.92	$4,978.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,901.24 / $3,455.40 / $5,629.60	Professional		$2,901.24	$3,455.40	$5,629.60