Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.57 / $1,148.57 / $1,148.57	Facility		$1,148.57	$1,148.57	$1,148.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.57 / $1,763.87 / $6,561.18	Professional		$1,148.57	$1,763.87	$6,561.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,403.33 / $1,871.11 / $2,229.44	Professional		$1,403.33	$1,871.11	$2,229.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $1,300.55	Facility		$1,300.55	$1,300.55	$1,300.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $2,863.19	Professional		$949.40	$949.40	$2,863.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,873.85 / $2,342.32 / $3,513.48	Professional		$1,873.85	$2,342.32	$3,513.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.35 / $670.35 / $1,760.25	Facility		$670.35	$670.35	$1,760.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $1,300.55 / $2,728.87	Professional		$949.40	$1,300.55	$2,728.87
United Facility/Professional Professional Modifier Low / Median / High Price $942.83 / $1,038.36 / $1,564.15	Professional		$942.83	$1,038.36	$1,564.15