Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,165.81 / $3,165.81 / $3,762.00	Facility		$3,165.81	$3,165.81	$3,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,110.40 / $3,187.20 / $3,762.00	Professional		$3,110.40	$3,187.20	$3,762.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,484.00 / $5,461.10 / $24,115.20	Facility		$1,484.00	$5,461.10	$24,115.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,840.00 / $3,840.00 / $4,224.00	Professional		$3,840.00	$3,840.00	$4,224.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Facility		$3,264.00	$3,264.00	$3,264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,500.00	Professional		$50.00	$70.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,709.12 / $3,648.00 / $4,560.00	Facility		$2,709.12	$3,648.00	$4,560.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $4,950.00	Professional		$3,264.00	$3,264.00	$4,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Professional		$3,200.00	$3,200.00	$3,200.00