Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.60 / $1,214.60 / $1,214.60	Facility		$1,214.60	$1,214.60	$1,214.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.08 / $1,658.04 / $6,167.68	Professional		$1,175.08	$1,658.04	$6,167.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,319.13 / $1,758.84 / $2,095.67	Professional		$1,319.13	$1,758.84	$2,095.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $1,222.54	Facility		$1,222.54	$1,222.54	$1,222.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $2,691.47	Professional		$892.45	$892.45	$2,691.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,761.41 / $2,201.77 / $3,302.65	Professional		$1,761.41	$2,201.77	$3,302.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.14 / $630.14 / $1,654.66	Facility		$630.14	$630.14	$1,654.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $1,222.54 / $2,565.19	Professional		$892.45	$1,222.54	$2,565.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,217.37 / $2,217.37 / $2,608.67	Facility		$2,217.37	$2,217.37	$2,608.67
United Facility/Professional Professional Modifier Low / Median / High Price $902.47 / $1,066.46 / $1,470.66	Professional		$902.47	$1,066.46	$1,470.66