Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Facility		$1,494.41	$1,494.41	$1,494.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,509.35 / $1,897.90	Professional		$1,494.41	$1,509.35	$1,897.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,396.74 / $7,911.45 / $13,651.44	Facility		$3,396.74	$7,911.45	$13,651.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Facility		$1,494.41	$1,494.41	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Professional		$1,494.41	$1,494.41	$1,494.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,494.35 / $1,600.61 / $2,435.79	Professional		$1,494.35	$1,600.61	$2,435.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.67 / $1,494.41 / $1,875.94	Facility		$866.67	$1,494.41	$1,875.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,979.71	Professional		$1,494.41	$1,494.41	$1,979.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Professional		$1,494.41	$1,494.41	$1,494.41