Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $1,350.00 / $2,700.00	Facility		$675.00	$1,350.00	$2,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.36 / $1,080.00 / $5,787.00	Professional		$318.36	$1,080.00	$5,787.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.15 / $736.20 / $900.00	Professional		$552.15	$736.20	$900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $585.00 / $585.00	Facility		$585.00	$585.00	$585.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.50 / $806.50 / $1,021.58	Professional		$806.50	$806.50	$1,021.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,395.00 / $1,467.00 / $1,467.00	Professional		$1,395.00	$1,467.00	$1,467.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $667.90 / $1,134.00	Facility		$585.00	$667.90	$1,134.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $806.50 / $1,089.00 / $1,251.00	Professional		$806.50	$1,089.00	$1,251.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $540.00	Professional		$378.00	$378.00	$540.00