Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,901.03 / $1,901.03 / $1,901.03	Facility		$1,901.03	$1,901.03	$1,901.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,901.03 / $2,919.44 / $10,859.80	Professional		$1,901.03	$2,919.44	$10,859.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,322.69 / $3,096.93 / $3,690.04	Professional		$2,322.69	$3,096.93	$3,690.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $2,326.75	Facility		$2,326.75	$2,326.75	$2,326.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $2,326.75 / $2,326.75	Professional		$1,698.53	$2,326.75	$2,326.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,101.47 / $3,876.84 / $5,815.26	Professional		$3,101.47	$3,876.84	$5,815.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,109.53 / $1,109.53 / $2,913.48	Facility		$1,109.53	$1,109.53	$2,913.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $2,326.75 / $4,410.84	Professional		$1,698.53	$2,326.75	$4,410.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,560.53 / $1,718.66 / $2,588.91	Professional		$1,560.53	$1,718.66	$2,588.91