Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.30 / $652.60 / $1,305.21	Facility		$326.30	$652.60	$1,305.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.30 / $522.08 / $2,797.50	Professional		$326.30	$522.08	$2,797.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.61 / $2,321.32 / $3,899.31	Facility		$652.61	$2,321.32	$3,899.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.80 / $282.80 / $282.80	Facility		$282.80	$282.80	$282.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.76 / $389.76 / $494.00	Professional		$389.76	$389.76	$494.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $674.36 / $709.16 / $709.16	Professional		$674.36	$709.16	$709.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $282.80 / $548.19 / $794.78	Facility		$282.80	$548.19	$794.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.33 / $550.36 / $626.50	Professional		$500.33	$550.36	$626.50
United Facility/Professional Facility Modifier Low / Median / High Price $435.07 / $435.07 / $435.07	Facility		$435.07	$435.07	$435.07
United Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $182.73 / $261.04	Professional		$182.73	$182.73	$261.04