Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.01 / $1,200.01 / $1,200.01	Facility		$1,200.01	$1,200.01	$1,200.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.94 / $1,638.11 / $6,093.35	Professional		$1,160.94	$1,638.11	$6,093.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,303.28 / $1,737.70 / $2,070.50	Professional		$1,303.28	$1,737.70	$2,070.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $1,207.83	Facility		$1,207.83	$1,207.83	$1,207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $1,207.83 / $1,207.83	Professional		$881.72	$1,207.83	$1,207.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,740.24 / $2,175.31 / $3,262.96	Professional		$1,740.24	$2,175.31	$3,262.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.55 / $622.55 / $1,634.75	Facility		$622.55	$622.55	$1,634.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $1,207.83 / $2,474.89	Professional		$881.72	$1,207.83	$2,474.89
United Facility/Professional Professional Modifier Low / Median / High Price $891.60 / $964.33 / $1,486.00	Professional		$891.60	$964.33	$1,486.00