Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,322.83 / $2,322.83 / $2,322.83	Facility		$2,322.83	$2,322.83	$2,322.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,322.83 / $3,170.85 / $13,977.20	Professional		$2,322.83	$3,170.85	$13,977.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,522.71 / $3,363.62 / $4,007.80	Professional		$2,522.71	$3,363.62	$4,007.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $3,364.97	Facility		$3,364.97	$3,364.97	$3,364.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $3,364.97 / $3,364.97	Professional		$2,456.42	$3,364.97	$3,364.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,368.55 / $4,210.68 / $6,316.03	Professional		$3,368.55	$4,210.68	$6,316.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,310.23 / $1,310.23 / $3,364.97	Facility		$1,310.23	$1,310.23	$3,364.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $3,364.97 / $5,072.07	Professional		$2,456.42	$3,364.97	$5,072.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,876.47 / $2,323.25 / $3,057.88	Professional		$1,876.47	$2,323.25	$3,057.88