Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $1,153.00 / $1,153.00	Facility		$1,153.00	$1,153.00	$1,153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.00 / $1,573.94 / $5,854.58	Professional		$1,153.00	$1,573.94	$5,854.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,252.22 / $1,669.62 / $1,989.38	Professional		$1,252.22	$1,669.62	$1,989.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $1,650.90	Facility		$1,650.90	$1,650.90	$1,650.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,650.90 / $1,650.90	Professional		$1,403.27	$1,650.90	$1,650.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,672.07 / $2,090.09 / $3,135.13	Professional		$1,672.07	$2,090.09	$3,135.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $926.42 / $926.42 / $2,208.23	Facility		$926.42	$926.42	$2,208.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,650.90 / $2,377.91	Professional		$1,403.27	$1,650.90	$2,377.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.69 / $1,224.69 / $1,224.69	Facility		$1,224.69	$1,224.69	$1,224.69
United Facility/Professional Professional Modifier Low / Median / High Price $926.78 / $1,337.40 / $2,162.13	Professional		$926.78	$1,337.40	$2,162.13