Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,073.80	Professional		$3,715.35	$3,715.35	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,235.94 / $4,365.16	Professional		$3,019.95	$3,235.94	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $3,019.95	Professional		$50.12	$70.79	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,715.35 / $6,309.57	Facility		$190.55	$3,715.35	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $3,548.13	Professional		$125.89	$125.89	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,818.38 / $2,951.21	Professional		$125.89	$2,818.38	$2,951.21