Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.19 / $1,563.19 / $1,563.19	Facility		$1,563.19	$1,563.19	$1,563.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,387.39 / $2,133.88 / $7,276.04	Professional		$1,387.39	$2,133.88	$7,276.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,697.72 / $2,263.62 / $2,697.13	Professional		$1,697.72	$2,263.62	$2,697.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $1,964.43	Facility		$1,964.43	$1,964.43	$1,964.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,964.43 / $1,964.43	Professional		$1,434.03	$1,964.43	$1,964.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,266.93 / $2,833.67 / $4,250.50	Professional		$2,266.93	$2,833.67	$4,250.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.99 / $743.99 / $2,129.51	Facility		$743.99	$743.99	$2,129.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,964.43 / $3,289.24	Professional		$1,434.03	$1,964.43	$3,289.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.52 / $1,152.43 / $1,763.53	Professional		$1,065.52	$1,152.43	$1,763.53