Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.00 / $7,838.38 / $8,644.27	Facility		$635.00	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.98 / $606.17 / $3,048.01	Professional		$459.98	$606.17	$3,048.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $479.84 / $818.93	Professional		$287.89	$479.84	$818.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $875.00	Facility		$875.00	$875.00	$875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.71 / $815.07 / $1,051.89	Professional		$434.71	$815.07	$1,051.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $504.85 / $900.97	Professional		$32.34	$504.85	$900.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.65 / $623.05 / $875.00	Facility		$482.65	$623.05	$875.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $453.07 / $813.82 / $1,036.38	Professional		$453.07	$813.82	$1,036.38
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,084.00 / $1,401.00	Facility		$200.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.11 / $799.14 / $1,196.35	Professional		$592.11	$799.14	$1,196.35