Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.45 / $834.90 / $1,669.80	Facility		$417.45	$834.90	$1,669.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.45 / $667.92 / $3,578.94	Professional		$417.45	$667.92	$3,578.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $834.90 / $2,969.74 / $4,988.53	Facility		$834.90	$2,969.74	$4,988.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.48 / $455.30 / $523.20	Professional		$341.48	$455.30	$523.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.79 / $361.79 / $361.79	Facility		$361.79	$361.79	$361.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.60 / $498.60 / $631.63	Professional		$498.60	$498.60	$631.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $907.26	Professional		$60.00	$60.00	$907.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.79 / $701.32 / $1,149.24	Facility		$361.79	$701.32	$1,149.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $640.09 / $704.10 / $801.50	Professional		$640.09	$704.10	$801.50
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $233.77 / $333.96	Professional		$233.77	$233.77	$333.96