Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,915.35 / $1,915.35 / $1,915.35	Facility		$1,915.35	$1,915.35	$1,915.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,654.37 / $2,614.61 / $9,220.69	Professional		$1,654.37	$2,614.61	$9,220.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,080.17 / $2,773.56 / $3,304.74	Professional		$2,080.17	$2,773.56	$3,304.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $2,084.13	Facility		$2,084.13	$2,084.13	$2,084.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $2,084.13 / $2,084.13	Professional		$1,521.41	$2,084.13	$2,084.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,777.63 / $3,472.04 / $5,208.06	Professional		$2,777.63	$3,472.04	$5,208.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $887.16 / $887.16 / $2,609.26	Facility		$887.16	$887.16	$2,609.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $2,084.13 / $3,791.48	Professional		$1,521.41	$2,084.13	$3,791.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,058.80 / $1,815.91 / $1,966.53	Facility		$1,058.80	$1,815.91	$1,966.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,270.55 / $1,374.19 / $2,102.89	Professional		$1,270.55	$1,374.19	$2,102.89