Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.36 / $2,187.36 / $2,187.36	Facility		$2,187.36	$2,187.36	$2,187.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,935.78 / $2,985.92 / $12,399.10	Professional		$1,935.78	$2,985.92	$12,399.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,375.59 / $3,167.45 / $3,774.06	Professional		$2,375.59	$3,167.45	$3,774.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $2,561.34	Facility		$2,561.34	$2,561.34	$2,561.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,561.34 / $2,561.34	Professional		$1,869.78	$2,561.34	$2,561.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,172.09 / $3,965.12 / $5,947.68	Professional		$3,172.09	$3,965.12	$5,947.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,038.06 / $1,038.06 / $2,979.82	Facility		$1,038.06	$1,038.06	$2,979.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,561.34 / $4,646.39	Professional		$1,869.78	$2,561.34	$4,646.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,486.68 / $1,840.66 / $2,460.60	Professional		$1,486.68	$1,840.66	$2,460.60