Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,621.81 / $1,659.59	Facility		$741.31	$1,621.81	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $3,311.31	Professional		$331.13	$467.74	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,691.53 / $4,466.84	Facility		$741.31	$2,691.53	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $501.19	Professional		$309.03	$407.38	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $562.34	Professional		$446.68	$446.68	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,071.52	Professional		$776.25	$776.25	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $776.25 / $1,479.11	Facility		$331.13	$776.25	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $724.44	Professional		$446.68	$660.69	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $302.00	Professional		$208.93	$208.93	$302.00