Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,944.07 / $2,944.07 / $2,944.07	Facility		$2,944.07	$2,944.07	$2,944.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,944.07 / $4,018.88 / $20,530.70	Professional		$2,944.07	$4,018.88	$20,530.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,197.41 / $4,263.21 / $5,079.68	Professional		$3,197.41	$4,263.21	$5,079.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $4,072.36	Facility		$4,072.36	$4,072.36	$4,072.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $4,072.36 / $4,072.36	Professional		$2,972.82	$4,072.36	$4,072.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,269.46 / $5,336.83 / $8,005.24	Professional		$4,269.46	$5,336.83	$8,005.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,718.86 / $1,718.86 / $4,072.36	Facility		$1,718.86	$1,718.86	$4,072.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $4,072.36 / $7,150.15	Professional		$2,972.82	$4,072.36	$7,150.15
United Facility/Professional Professional Modifier Low / Median / High Price $2,461.69 / $2,662.49 / $4,102.81	Professional		$2,461.69	$2,662.49	$4,102.81