Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,111.60 / $2,111.60 / $2,111.60	Facility		$2,111.60	$2,111.60	$2,111.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,042.88 / $2,882.51 / $10,722.30	Professional		$2,042.88	$2,882.51	$10,722.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $3,057.75 / $3,643.35	Professional		$2,293.31	$3,057.75	$3,643.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $2,463.07	Facility		$2,463.07	$2,463.07	$2,463.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $2,463.07 / $2,463.07	Professional		$1,798.04	$2,463.07	$2,463.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,062.23 / $3,827.79 / $5,741.68	Professional		$3,062.23	$3,827.79	$5,741.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,095.49 / $1,095.49 / $2,876.61	Facility		$1,095.49	$1,095.49	$2,876.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $2,463.07 / $4,355.02	Professional		$1,798.04	$2,463.07	$4,355.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,568.93 / $1,696.91 / $2,556.73	Professional		$1,568.93	$1,696.91	$2,556.73