Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,290.87	Professional		$2,089.30	$2,089.30	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $2,454.71 / $2,454.71	Professional		$263.03	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $123.03 / $263.03	Professional		$44.67	$123.03	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,089.30 / $3,801.89	Facility		$177.83	$2,089.30	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $3,467.37	Professional		$125.89	$125.89	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,754.23 / $2,754.23	Professional		$125.89	$2,754.23	$2,754.23