Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $1,170.00 / $2,340.00	Facility		$585.00	$1,170.00	$2,340.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $936.00 / $5,015.39	Professional		$585.00	$936.00	$5,015.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $638.04 / $733.20	Professional		$638.04	$638.04	$733.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $507.00	Facility		$507.00	$507.00	$507.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.90 / $698.90 / $885.18	Professional		$698.90	$698.90	$885.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $1,209.00 / $1,271.40	Professional		$70.00	$1,209.00	$1,271.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $749.92 / $982.80	Facility		$507.00	$749.92	$982.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $791.17 / $943.80 / $1,084.20	Professional		$791.17	$943.80	$1,084.20
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $327.60 / $468.00	Professional		$327.60	$327.60	$468.00