Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,674.25 / $1,674.25 / $1,674.25	Facility		$1,674.25	$1,674.25	$1,674.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,619.76 / $2,285.48 / $8,501.54	Professional		$1,619.76	$2,285.48	$8,501.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,818.33 / $2,424.44 / $2,888.75	Professional		$1,818.33	$2,424.44	$2,888.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.91 / $1,952.91 / $1,952.91	Facility		$1,952.91	$1,952.91	$1,952.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.62 / $1,952.91 / $1,952.91	Professional		$1,425.62	$1,952.91	$1,952.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,427.99 / $3,034.99 / $4,552.48	Professional		$2,427.99	$3,034.99	$4,552.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.59 / $868.59 / $2,280.80	Facility		$868.59	$868.59	$2,280.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,425.62 / $1,952.91 / $3,453.00	Professional		$1,425.62	$1,952.91	$3,453.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,243.97 / $1,470.01 / $2,027.18	Professional		$1,243.97	$1,470.01	$2,027.18