Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,678.83 / $2,678.83 / $2,678.83	Facility		$2,678.83	$2,678.83	$2,678.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,591.62 / $3,656.81 / $13,602.40	Professional		$2,591.62	$3,656.81	$13,602.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,909.35 / $3,879.13 / $4,383.42	Professional		$2,909.35	$3,879.13	$4,383.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $2,886.72	Facility		$2,886.72	$2,886.72	$2,886.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,886.72 / $2,886.72	Professional		$2,107.31	$2,886.72	$2,886.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,095.32 / $3,095.32 / $3,095.32	Professional		$3,095.32	$3,095.32	$3,095.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,389.75 / $1,389.75 / $3,649.32	Facility		$1,389.75	$1,389.75	$3,649.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,886.72 / $5,524.78	Professional		$2,107.31	$2,886.72	$5,524.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,890.35 / $4,890.35 / $5,753.36	Facility		$4,890.35	$4,890.35	$5,753.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,990.36 / $2,152.71 / $3,294.23	Professional		$1,990.36	$2,152.71	$3,294.23