Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,621.81	Professional		$1,380.38	$1,380.38	$1,621.81
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,584.89	Professional		$1,380.38	$1,380.38	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $2,089.30	Professional		$50.12	$70.79	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,380.38 / $2,630.27	Facility		$181.97	$1,380.38	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $2,454.71	Professional		$125.89	$125.89	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,621.81 / $1,949.84	Professional		$125.89	$1,621.81	$1,949.84