Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.19 / $908.19 / $908.19	Facility		$908.19	$908.19	$908.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.19 / $1,394.72 / $5,188.07	Professional		$908.19	$1,394.72	$5,188.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,685.54 / $9,103.49 / $16,116.05	Facility		$2,685.54	$9,103.49	$16,116.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.38 / $1,028.38 / $1,028.38	Facility		$1,028.38	$1,028.38	$1,028.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $750.72 / $2,263.76	Professional		$750.72	$750.72	$2,263.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,481.68 / $1,852.10 / $2,778.15	Professional		$1,481.68	$1,852.10	$2,778.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.05 / $530.05 / $1,391.88	Facility		$530.05	$530.05	$1,391.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.72 / $1,028.38 / $2,157.76	Professional		$750.72	$1,028.38	$2,157.76
United Facility/Professional Professional Modifier Low / Median / High Price $745.52 / $821.06 / $1,236.82	Professional		$745.52	$821.06	$1,236.82