Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,718.75 / $3,718.75 / $3,718.75	Facility		$3,718.75	$3,718.75	$3,718.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.29 / $975.06 / $3,735.87	Professional		$714.29	$975.06	$3,735.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,877.49 / $6,364.28 / $11,266.88	Facility		$1,877.49	$6,364.28	$11,266.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.76 / $1,034.33 / $1,232.43	Professional		$775.76	$1,034.33	$1,232.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $809.08	Facility		$809.08	$809.08	$809.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $809.08 / $1,071.00	Professional		$687.72	$809.08	$1,071.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,035.85 / $1,294.82 / $1,942.23	Professional		$1,035.85	$1,294.82	$1,942.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $417.02 / $973.06	Facility		$417.02	$417.02	$973.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $809.08 / $1,517.36	Professional		$687.72	$809.08	$1,517.36
United Facility/Professional Professional Modifier Low / Median / High Price $597.25 / $739.46 / $988.50	Professional		$597.25	$739.46	$988.50