Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.51 / $1,127.51 / $1,127.51	Facility		$1,127.51	$1,127.51	$1,127.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,127.51 / $1,539.14 / $5,897.13	Professional		$1,127.51	$1,539.14	$5,897.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,224.54 / $1,632.72 / $1,945.41	Professional		$1,224.54	$1,632.72	$1,945.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $1,367.82	Facility		$1,367.82	$1,367.82	$1,367.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,367.82 / $1,367.82	Professional		$998.51	$1,367.82	$1,367.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,635.11 / $2,043.89 / $3,065.83	Professional		$1,635.11	$2,043.89	$3,065.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $658.29 / $658.29 / $1,536.00	Facility		$658.29	$658.29	$1,536.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,367.82 / $2,395.19	Professional		$998.51	$1,367.82	$2,395.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.44 / $1,347.44 / $1,347.44	Facility		$1,347.44	$1,347.44	$1,347.44
United Facility/Professional Professional Modifier Low / Median / High Price $920.68 / $1,019.68 / $1,560.38	Professional		$920.68	$1,019.68	$1,560.38