Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,596.66 / $2,596.66 / $2,596.66	Facility		$2,596.66	$2,596.66	$2,596.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,596.66 / $3,544.64 / $14,614.90	Professional		$2,596.66	$3,544.64	$14,614.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,820.11 / $3,760.15 / $4,480.27	Professional		$2,820.11	$3,760.15	$4,480.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $2,780.72	Facility		$2,780.72	$2,780.72	$2,780.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,780.72 / $2,780.72	Professional		$2,029.93	$2,780.72	$2,780.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,765.66 / $4,707.08 / $7,060.62	Professional		$3,765.66	$4,707.08	$7,060.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,433.28 / $1,433.28 / $3,537.39	Facility		$1,433.28	$1,433.28	$3,537.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,780.72 / $5,516.11	Professional		$2,029.93	$2,780.72	$5,516.11
United Facility/Professional Professional Modifier Low / Median / High Price $2,052.69 / $2,541.42 / $3,345.05	Professional		$2,052.69	$2,541.42	$3,345.05