Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $5,128.61	Professional		$2,344.23	$3,090.30	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $5,128.61	Professional		$3,467.37	$4,570.88	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $8,511.38	Professional		$2,691.53	$2,691.53	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,754.40 / $8,511.38	Professional		$4,570.88	$5,754.40	$8,511.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,801.89 / $6,606.93	Facility		$2,137.96	$3,801.89	$6,606.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $6,918.31	Professional		$2,691.53	$2,691.53	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $6,918.31	Facility		$1,995.26	$3,890.45	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,890.45	Professional		$2,344.23	$2,951.21	$3,890.45