Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,548.82 / $1,548.82	Facility		$870.96	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $229.09 / $707.95	Professional		$81.28	$229.09	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,905.46 / $3,162.28	Facility		$870.96	$1,905.46	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $213.80	Professional		$69.18	$100.00	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $1,000.00	Professional		$44.67	$70.79	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $162.18 / $630.96	Facility		$85.11	$162.18	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $213.80	Professional		$83.18	$102.33	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $380.19 / $380.19	Facility		$169.82	$380.19	$380.19