Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,737.80	Professional		$1,584.89	$1,584.89	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,862.09 / $1,862.09	Professional		$125.89	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,819.70	Professional		$1,584.89	$1,584.89	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $208.93	Professional		$60.26	$138.04	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,584.89 / $3,311.31	Facility		$138.04	$1,584.89	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $3,090.30	Professional		$125.89	$125.89	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,862.09 / $2,511.89	Professional		$125.89	$1,862.09	$2,511.89