Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,437.26 / $2,437.26 / $2,437.26	Facility		$2,437.26	$2,437.26	$2,437.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,434.85 / $3,327.05 / $13,645.40	Professional		$2,434.85	$3,327.05	$13,645.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,646.99 / $3,529.32 / $4,205.22	Professional		$2,646.99	$3,529.32	$4,205.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $3,001.57	Facility		$3,001.57	$3,001.57	$3,001.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $3,001.57 / $3,001.57	Professional		$2,191.15	$3,001.57	$3,001.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,534.49 / $4,418.12 / $6,627.18	Professional		$3,534.49	$4,418.12	$6,627.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,899.65 / $2,899.65 / $3,001.57	Facility		$2,899.65	$2,899.65	$3,001.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $3,001.57 / $5,526.73	Professional		$2,191.15	$3,001.57	$5,526.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,826.14 / $2,260.94 / $3,043.56	Professional		$1,826.14	$2,260.94	$3,043.56