Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,486.46 / $2,486.46 / $2,486.46	Facility		$2,486.46	$2,486.46	$2,486.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,405.52 / $3,394.21 / $12,625.70	Professional		$2,405.52	$3,394.21	$12,625.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,700.43 / $3,600.57 / $4,290.13	Professional		$2,700.43	$3,600.57	$4,290.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $2,502.67	Facility		$2,502.67	$2,502.67	$2,502.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $2,502.67 / $2,502.67	Professional		$1,826.95	$2,502.67	$2,502.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,605.84 / $4,507.31 / $6,760.96	Professional		$3,605.84	$4,507.31	$6,760.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,289.96 / $1,289.96 / $3,387.27	Facility		$1,289.96	$1,289.96	$3,387.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $2,502.67 / $5,128.09	Professional		$1,826.95	$2,502.67	$5,128.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,847.44 / $1,998.13 / $3,057.69	Professional		$1,847.44	$1,998.13	$3,057.69