Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,249.66 / $1,571.35	Professional		$1,237.28	$1,249.66	$1,571.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.86 / $1,403.82 / $1,484.00	Professional		$1,052.86	$1,403.82	$1,484.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $1,055.97 / $1,721.23	Professional		$70.00	$1,055.97	$1,721.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,361.01	Facility		$1,237.28	$1,237.28	$1,361.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,572.54	Professional		$1,237.28	$1,237.28	$1,572.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.97 / $1,237.28 / $1,237.28	Professional		$1,055.97	$1,237.28	$1,237.28