Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $2,820.92 / $2,820.92	Facility		$1,808.65	$2,820.92	$2,820.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $2,296.98 / $3,922.01	Professional		$1,808.65	$2,296.98	$3,922.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,520.81 / $5,493.01 / $9,086.81	Facility		$1,520.81	$5,493.01	$9,086.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Facility		$1,808.65	$1,808.65	$1,808.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,032.62 / $1,032.62 / $1,032.62	Professional		$1,032.62	$1,032.62	$1,032.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.61 / $1,013.88 / $1,808.65	Facility		$630.61	$1,013.88	$1,808.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65