Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,736.91 / $2,736.91 / $2,736.91	Facility		$2,736.91	$2,736.91	$2,736.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.37 / $2,489.21 / $2,736.91	Professional		$2,326.37	$2,489.21	$2,736.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.22 / $712.17 / $1,160.46	Facility		$194.22	$712.17	$1,160.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Facility		$2,554.44	$2,554.44	$2,554.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Professional		$2,554.44	$2,554.44	$2,554.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $131.88 / $131.88	Professional		$131.88	$131.88	$131.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.56 / $151.01 / $2,554.44	Facility		$98.56	$151.01	$2,554.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Professional		$2,554.44	$2,554.44	$2,554.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,654.57 / $2,736.91 / $2,819.02	Professional		$2,654.57	$2,736.91	$2,819.02