Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Facility		$2,784.38	$2,784.38	$2,784.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,812.22 / $3,536.16	Professional		$2,784.38	$2,812.22	$3,536.16
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 $2,784.38 / $2,784.38 / $2,784.38	Facility		$2,784.38	$2,784.38	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.99 / $97.99 / $151.02	Professional		$97.99	$97.99	$151.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $2,784.38 / $3,062.82	Facility		$110.16	$2,784.38	$3,062.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $2,784.38 / $2,784.38	Professional		$120.33	$2,784.38	$2,784.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,784.38	Professional		$2,784.38	$2,784.38	$2,784.38