Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.38 / $1,108.38 / $1,108.38	Facility		$1,108.38	$1,108.38	$1,108.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,108.38 / $1,513.03 / $5,389.95	Professional		$1,108.38	$1,513.03	$5,389.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,203.76 / $1,605.01 / $1,912.40	Professional		$1,203.76	$1,605.01	$1,912.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $1,167.30	Facility		$1,167.30	$1,167.30	$1,167.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $1,167.30 / $1,167.30	Professional		$852.13	$1,167.30	$1,167.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,607.36 / $2,009.21 / $3,013.81	Professional		$1,607.36	$2,009.21	$3,013.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $601.66 / $601.66 / $1,509.93	Facility		$601.66	$601.66	$1,509.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $1,167.30 / $2,354.54	Professional		$852.13	$1,167.30	$2,354.54
United Facility/Professional Professional Modifier Low / Median / High Price $861.69 / $931.98 / $1,426.18	Professional		$861.69	$931.98	$1,426.18