Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,754.23	Professional		$1,230.27	$1,659.59	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $3,090.30	Professional		$2,041.74	$2,754.23	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $4,897.79	Professional		$1,258.93	$1,258.93	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $5,128.61	Professional		$2,754.23	$3,388.44	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,388.44	Facility		$891.25	$2,511.89	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $3,981.07	Professional		$1,258.93	$1,258.93	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,801.89	Facility		$1,071.52	$2,089.30	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,089.30	Professional		$1,288.25	$1,584.89	$2,089.30