Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,876.00 / $3,876.00 / $3,876.00	Facility		$3,876.00	$3,876.00	$3,876.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,304.80 / $3,386.40 / $3,876.00	Professional		$3,304.80	$3,386.40	$3,876.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,484.00 / $5,441.51 / $8,866.87	Facility		$1,484.00	$5,441.51	$8,866.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
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 $2,856.00 / $3,876.00 / $4,845.00	Facility		$2,856.00	$3,876.00	$4,845.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $4,845.00	Professional		$3,468.00	$3,468.00	$4,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $3,400.00	Professional		$3,400.00	$3,400.00	$3,400.00