Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.75 / $1,608.75 / $1,608.75	Facility		$1,608.75	$1,608.75	$1,608.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,372.49 / $2,196.07 / $6,636.20	Professional		$1,372.49	$2,196.07	$6,636.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,747.19 / $2,329.58 / $2,775.73	Professional		$1,747.19	$2,329.58	$2,775.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,800.00 / $1,800.00	Professional		$1,314.00	$1,800.00	$1,800.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,333.00 / $2,916.25 / $4,374.37	Professional		$2,333.00	$2,916.25	$4,374.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $2,191.57	Facility		$736.00	$736.00	$2,191.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,800.00 / $2,830.73	Professional		$1,314.00	$1,800.00	$2,830.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.07 / $1,140.05 / $1,744.59	Professional		$1,054.07	$1,140.05	$1,744.59