Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,983.06 / $1,983.06 / $1,983.06	Facility		$1,983.06	$1,983.06	$1,983.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,983.06 / $2,707.03 / $11,343.50	Professional		$1,983.06	$2,707.03	$11,343.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,153.71 / $2,871.61 / $3,421.56	Professional		$2,153.71	$2,871.61	$3,421.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,160.07	Facility		$2,160.07	$2,160.07	$2,160.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $2,160.07	Professional		$1,576.85	$2,160.07	$2,160.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,212.62 / $5,265.78 / $7,898.67	Professional		$4,212.62	$5,265.78	$7,898.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,113.38 / $1,113.38 / $2,701.49	Facility		$1,113.38	$1,113.38	$2,701.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $4,212.62	Professional		$1,576.85	$2,160.07	$4,212.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,594.54 / $1,724.61 / $2,639.12	Professional		$1,594.54	$1,724.61	$2,639.12