Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.62 / $1,523.62 / $1,523.62	Facility		$1,523.62	$1,523.62	$1,523.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.38 / $2,079.86 / $8,743.32	Professional		$1,369.38	$2,079.86	$8,743.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,654.73 / $2,206.30 / $2,628.84	Professional		$1,654.73	$2,206.30	$2,628.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $1,424.68	Facility		$1,424.68	$1,424.68	$1,424.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $3,687.61	Professional		$1,040.02	$1,040.02	$3,687.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,209.53 / $2,761.92 / $4,142.88	Professional		$2,209.53	$2,761.92	$4,142.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $734.33 / $734.33 / $2,075.61	Facility		$734.33	$734.33	$2,075.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,424.68 / $3,126.98	Professional		$1,040.02	$1,424.68	$3,126.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.68 / $1,137.47 / $1,713.81	Professional		$1,051.68	$1,137.47	$1,713.81