Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,096.48 / $7,762.47	Facility		$645.65	$1,096.48	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,380.38	Professional		$524.81	$758.58	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,659.59 / $2,754.23	Facility		$758.58	$1,659.59	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $954.99	Professional		$575.44	$691.83	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,174.90	Professional		$436.52	$741.31	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $114.82 / $954.99	Professional		$32.36	$114.82	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $741.31 / $1,071.52	Facility		$407.38	$741.31	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,047.13	Professional		$436.52	$724.44	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,265.80 / $10,000.00	Facility		$562.34	$4,265.80	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,174.90	Professional		$524.81	$776.25	$1,174.90