Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,506.96 / $2,506.96 / $2,506.96	Facility		$2,506.96	$2,506.96	$2,506.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,381.38 / $3,422.21 / $13,897.50	Professional		$2,381.38	$3,422.21	$13,897.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,722.70 / $3,630.26 / $4,325.51	Professional		$2,722.70	$3,630.26	$4,325.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $2,728.17	Facility		$2,728.17	$2,728.17	$2,728.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $5,392.49	Professional		$1,991.56	$1,991.56	$5,392.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,635.58 / $4,544.47 / $6,816.72	Professional		$3,635.58	$4,544.47	$6,816.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,277.01 / $1,277.01 / $3,415.21	Facility		$1,277.01	$1,277.01	$3,415.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $2,728.17 / $5,729.44	Professional		$1,991.56	$2,728.17	$5,729.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.90 / $2,264.35 / $2,980.36	Professional		$1,828.90	$2,264.35	$2,980.36