Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,921.65 / $2,416.33	Professional		$1,902.62	$1,921.65	$2,416.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $1,802.93 / $2,403.90	Professional		$68.68	$1,802.93	$2,403.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,349.92 / $3,830.37 / $3,830.37	Professional		$2,349.92	$3,830.37	$3,830.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,416.33	Facility		$1,902.62	$1,902.62	$2,416.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,957.64	Professional		$1,902.62	$1,902.62	$2,957.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62