Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,570.40	Professional		$1,288.25	$1,621.81	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $2,754.23	Professional		$1,819.70	$2,398.83	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $4,466.84	Professional		$1,412.54	$1,412.54	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $4,570.88	Professional		$2,454.71	$3,019.95	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,238.72 / $3,019.95	Facility		$870.96	$2,238.72	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $3,548.13	Professional		$1,412.54	$1,412.54	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $3,630.78	Facility		$1,047.13	$2,041.74	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,041.74	Professional		$1,230.27	$1,479.11	$2,041.74