Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,759.32 / $2,759.32 / $2,759.32	Facility		$2,759.32	$2,759.32	$2,759.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,742.31 / $3,766.69 / $17,565.09	Professional		$2,742.31	$3,766.69	$17,565.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,996.76 / $3,995.68 / $4,760.92	Professional		$2,996.76	$3,995.68	$4,760.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $2,853.06	Facility		$2,853.06	$2,853.06	$2,853.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,853.06 / $2,853.06	Professional		$2,082.73	$2,853.06	$2,853.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,001.54 / $5,001.93 / $7,502.89	Professional		$4,001.54	$5,001.93	$7,502.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,470.57 / $1,470.57 / $3,758.99	Facility		$1,470.57	$1,470.57	$3,758.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,853.06 / $6,181.03	Professional		$2,082.73	$2,853.06	$6,181.03
United Facility/Professional Professional Modifier Low / Median / High Price $2,106.10 / $2,607.55 / $3,485.78	Professional		$2,106.10	$2,607.55	$3,485.78