Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,278.05 / $2,278.05 / $2,278.05	Facility		$2,278.05	$2,278.05	$2,278.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,278.05 / $3,109.72 / $15,699.50	Professional		$2,278.05	$3,109.72	$15,699.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,474.08 / $3,298.77 / $3,930.54	Professional		$2,474.08	$3,298.77	$3,930.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $2,550.04	Facility		$2,550.04	$2,550.04	$2,550.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $2,550.04 / $2,550.04	Professional		$1,861.53	$2,550.04	$2,550.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,303.61 / $4,129.52 / $6,194.28	Professional		$3,303.61	$4,129.52	$6,194.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,314.38 / $1,314.38 / $3,103.35	Facility		$1,314.38	$1,314.38	$3,103.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $2,550.04 / $5,576.03	Professional		$1,861.53	$2,550.04	$5,576.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,625.10 / $4,625.10 / $5,441.30	Facility		$4,625.10	$4,625.10	$5,441.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,882.40 / $2,453.50 / $3,067.56	Professional		$1,882.40	$2,453.50	$3,067.56