Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,109.30 / $2,109.30 / $2,109.30	Facility		$2,109.30	$2,109.30	$2,109.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,966.59 / $2,879.37 / $12,596.40	Professional		$1,966.59	$2,879.37	$12,596.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,544.25 / $18,793.78 / $33,271.23	Facility		$5,544.25	$18,793.78	$33,271.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $2,694.60	Facility		$2,694.60	$2,694.60	$2,694.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $4,852.68	Professional		$1,967.06	$1,967.06	$4,852.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,058.89 / $3,823.62 / $5,735.43	Professional		$3,058.89	$3,823.62	$5,735.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,054.58 / $1,054.58 / $2,873.47	Facility		$1,054.58	$1,054.58	$2,873.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $2,694.60 / $4,982.35	Professional		$1,967.06	$2,694.60	$4,982.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,510.34 / $1,869.95 / $2,461.25	Professional		$1,510.34	$1,869.95	$2,461.25