Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,823.59 / $5,823.59 / $5,823.59	Facility		$5,823.59	$5,823.59	$5,823.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,087.97 / $5,087.97 / $5,823.59	Professional		$5,087.97	$5,087.97	$5,823.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Facility		$5,210.58	$5,210.58	$5,210.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Professional		$5,210.58	$5,210.58	$5,210.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $1,500.00	Professional		$85.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $7,266.49	Facility		$5,210.58	$5,210.58	$7,266.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Professional		$5,210.58	$5,210.58	$5,210.58
United Facility/Professional Professional Modifier Low / Median / High Price $5,108.41 / $5,108.41 / $5,108.41	Professional		$5,108.41	$5,108.41	$5,108.41