Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,466.78 / $1,844.36	Professional		$1,452.25	$1,466.78	$1,844.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,590.00 / $2,034.25 / $2,034.25	Professional		$1,590.00	$2,034.25	$2,034.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,644.99 / $2,681.33 / $2,681.33	Professional		$1,644.99	$2,681.33	$2,681.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,358.30 / $1,452.25 / $1,597.48	Facility		$1,358.30	$1,452.25	$1,597.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,626.12	Professional		$1,452.25	$1,452.25	$1,626.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Professional		$1,452.25	$1,452.25	$1,452.25