Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $1,368.00 / $1,368.00	Facility		$1,368.00	$1,368.00	$1,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.00 / $1,195.20 / $1,368.00	Professional		$1,152.00	$1,195.20	$1,368.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.97 / $341.83 / $455.77	Professional		$246.97	$341.83	$455.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Facility		$1,224.00	$1,224.00	$1,224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,224.00	Professional		$1,224.00	$1,224.00	$1,224.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $386.49 / $629.98	Professional		$70.00	$386.49	$629.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.49 / $1,166.40 / $1,224.00	Facility		$386.49	$1,166.40	$1,224.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,224.00 / $1,440.00	Professional		$1,224.00	$1,224.00	$1,440.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Professional		$1,200.00	$1,200.00	$1,200.00