Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.75 / $5,000.27 / $8,602.00	Facility		$396.75	$5,000.27	$8,602.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.02 / $354.00 / $516.51	Professional		$261.02	$354.00	$516.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.51 / $390.16 / $564.44	Professional		$178.51	$390.16	$564.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.02 / $443.02 / $1,651.99	Facility		$443.02	$443.02	$1,651.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.49 / $435.61 / $636.79	Professional		$303.49	$435.61	$636.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $101.11 / $541.30	Professional		$32.34	$101.11	$541.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.33 / $365.30 / $518.54	Facility		$261.33	$365.30	$518.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $489.12 / $782.79	Professional		$326.70	$489.12	$782.79
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $520.00 / $765.37	Professional		$374.40	$520.00	$765.37