Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.88 / $1,154.88 / $1,154.88	Facility		$1,154.88	$1,154.88	$1,154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.55 / $1,576.50 / $5,864.13	Professional		$1,117.55	$1,576.50	$5,864.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,254.26 / $1,672.34 / $1,992.62	Professional		$1,254.26	$1,672.34	$1,992.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $1,162.68	Facility		$1,162.68	$1,162.68	$1,162.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,162.68 / $2,151.00	Professional		$988.28	$1,162.68	$2,151.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,674.80 / $2,093.50 / $3,140.25	Professional		$1,674.80	$2,093.50	$3,140.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $599.29 / $1,573.26	Facility		$599.29	$599.29	$1,573.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,162.68 / $2,381.78	Professional		$988.28	$1,162.68	$2,381.78
United Facility/Professional Professional Modifier Low / Median / High Price $858.28 / $928.29 / $1,420.53	Professional		$858.28	$928.29	$1,420.53