Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,869.76 / $1,869.76 / $1,869.76	Facility		$1,869.76	$1,869.76	$1,869.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,869.76 / $2,552.38 / $12,667.80	Professional		$1,869.76	$2,552.38	$12,667.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,030.67 / $2,707.56 / $3,226.09	Professional		$2,030.67	$2,707.56	$3,226.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $2,117.90	Facility		$2,117.90	$2,117.90	$2,117.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $4,371.31	Professional		$1,546.07	$1,546.07	$4,371.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,711.52 / $3,389.41 / $5,084.11	Professional		$2,711.52	$3,389.41	$5,084.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,091.64 / $1,091.64 / $2,547.16	Facility		$1,091.64	$1,091.64	$2,547.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $2,117.90 / $3,971.96	Professional		$1,546.07	$2,117.90	$3,971.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,563.41 / $1,935.65 / $2,587.58	Professional		$1,563.41	$1,935.65	$2,587.58