Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.48 / $1,235.48 / $1,235.48	Facility		$1,235.48	$1,235.48	$1,235.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.94 / $1,686.53 / $5,952.89	Professional		$1,143.94	$1,686.53	$5,952.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,341.80 / $1,789.06 / $2,131.69	Professional		$1,341.80	$1,789.06	$2,131.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,551.30 / $1,551.30	Professional		$1,132.45	$1,551.30	$1,551.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,791.68 / $2,239.60 / $3,359.40	Professional		$1,791.68	$2,239.60	$3,359.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $613.44 / $613.44 / $1,683.10	Facility		$613.44	$613.44	$1,683.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,551.30 / $2,624.53	Professional		$1,132.45	$1,551.30	$2,624.53
United Facility/Professional Professional Modifier Low / Median / High Price $878.54 / $1,087.72 / $1,454.07	Professional		$878.54	$1,087.72	$1,454.07