Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,996.15 / $15,996.15 / $15,996.15	Facility		$15,996.15	$15,996.15	$15,996.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,996.15 / $21,836.01 / $81,225.20	Professional		$15,996.15	$21,836.01	$81,225.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17,372.66 / $23,163.54 / $27,599.70	Professional		$17,372.66	$23,163.54	$27,599.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,524.00 / $16,524.00 / $16,524.00	Facility		$16,524.00	$16,524.00	$16,524.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,062.52 / $16,524.00 / $16,524.00	Professional		$12,062.52	$16,524.00	$16,524.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $23,197.52 / $28,996.90 / $43,495.35	Professional		$23,197.52	$28,996.90	$43,495.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $14,608.97 / $18,876.68 / $18,876.68	Facility		$14,608.97	$18,876.68	$18,876.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $12,062.52 / $16,524.00 / $32,990.58	Professional		$12,062.52	$16,524.00	$32,990.58
United Facility/Professional Professional Modifier Low / Median / High Price $11,888.14 / $12,857.86 / $19,813.56	Professional		$11,888.14	$12,857.86	$19,813.56