Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,980.61 / $2,490.46	Professional		$1,961.00	$1,980.61	$2,490.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,696.00 / $2,258.56 / $2,312.50	Professional		$1,696.00	$2,258.56	$2,312.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $2,014.00 / $3,282.82	Professional		$70.00	$2,014.00	$3,282.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,157.10	Facility		$1,961.00	$1,961.00	$2,157.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,500.00	Professional		$1,961.00	$1,961.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00