Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,657.34 / $2,083.98	Professional		$1,640.93	$1,657.34	$2,083.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,337.85 / $1,781.61 / $1,935.06	Professional		$1,337.85	$1,781.61	$1,935.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $1,144.54 / $1,635.07	Professional		$70.00	$1,144.54	$1,635.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $1,640.93 / $1,805.02	Facility		$1,560.00	$1,640.93	$1,805.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,962.08	Professional		$1,640.93	$1,640.93	$1,962.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93