Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,835.33 / $3,835.33 / $3,835.33	Facility		$3,835.33	$3,835.33	$3,835.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,352.62 / $5,235.53 / $20,167.30	Professional		$3,352.62	$5,235.53	$20,167.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,165.37 / $5,553.83 / $6,617.47	Professional		$4,165.37	$5,553.83	$6,617.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $4,052.23 / $4,052.23	Facility		$4,052.23	$4,052.23	$4,052.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $4,052.23 / $4,052.23	Professional		$2,958.13	$4,052.23	$4,052.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,561.97 / $6,952.47 / $10,428.70	Professional		$5,561.97	$6,952.47	$10,428.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,797.85 / $1,797.85 / $5,224.82	Facility		$1,797.85	$1,797.85	$5,224.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $4,052.23 / $8,147.42	Professional		$2,958.13	$4,052.23	$8,147.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,574.82 / $2,784.85 / $4,261.57	Professional		$2,574.82	$2,784.85	$4,261.57