Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,801.89	Professional		$1,949.84	$2,454.71	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $4,168.69	Professional		$2,754.23	$3,630.78	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $6,760.83	Professional		$2,137.96	$2,137.96	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $6,918.31	Professional		$3,630.78	$4,570.88	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,467.37 / $4,677.35	Facility		$1,318.26	$3,467.37	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $5,370.32	Professional		$2,137.96	$2,137.96	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $5,495.41	Facility		$1,548.82	$3,019.95	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $3,019.95	Professional		$1,862.09	$2,238.72	$3,019.95