Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,588.50 / $4,588.50 / $4,588.50	Facility		$4,588.50	$4,588.50	$4,588.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $4,008.90 / $4,588.50	Professional		$3,864.00	$4,008.90	$4,588.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,625.00 / $3,500.00 / $3,500.00	Professional		$2,625.00	$3,500.00	$3,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,968.00 / $3,912.30 / $4,105.50	Facility		$2,968.00	$3,912.30	$4,105.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $4,105.50 / $4,105.50	Professional		$3,500.00	$4,105.50	$4,105.50
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,200.00	Professional		$4,200.00	$4,200.00	$4,200.00