Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.18 / $676.36 / $1,352.73	Facility		$338.18	$676.36	$1,352.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.18 / $541.09 / $2,899.35	Professional		$338.18	$541.09	$2,899.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $811.65 / $2,835.99 / $4,849.60	Facility		$811.65	$2,835.99	$4,849.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.63 / $368.84 / $423.86	Professional		$276.63	$368.84	$423.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.08 / $293.08 / $293.08	Facility		$293.08	$293.08	$293.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.02 / $404.02 / $511.61	Professional		$404.02	$404.02	$511.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $698.91 / $734.98 / $734.98	Professional		$698.91	$734.98	$734.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.08 / $426.43 / $568.15	Facility		$293.08	$426.43	$568.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $476.43 / $545.60 / $626.76	Professional		$476.43	$545.60	$626.76
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $189.67 / $270.55	Professional		$189.38	$189.67	$270.55