Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,547.61 / $2,547.61 / $2,547.61	Facility		$2,547.61	$2,547.61	$2,547.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,369.29 / $3,477.69 / $15,175.80	Professional		$2,369.29	$3,477.69	$15,175.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,766.84 / $3,689.12 / $4,395.64	Professional		$2,766.84	$3,689.12	$4,395.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $2,481.10	Facility		$2,481.10	$2,481.10	$2,481.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $2,481.10 / $2,481.10	Professional		$1,811.20	$2,481.10	$2,481.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,694.53 / $4,618.17 / $6,927.25	Professional		$3,694.53	$4,618.17	$6,927.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,270.53 / $1,270.53 / $3,470.57	Facility		$1,270.53	$1,270.53	$3,470.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $2,481.10 / $5,438.74	Professional		$1,811.20	$2,481.10	$5,438.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.35 / $2,600.65 / $2,816.34	Facility		$1,516.35	$2,600.65	$2,816.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.61 / $1,968.04 / $3,028.98	Professional		$1,819.61	$1,968.04	$3,028.98