Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $900.00 / $1,800.00	Facility		$450.00	$900.00	$1,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $720.00 / $3,858.00	Professional		$450.00	$720.00	$3,858.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $3,116.46 / $5,377.50	Facility		$600.00	$3,116.46	$5,377.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.10 / $490.80 / $600.00	Professional		$368.10	$490.80	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $390.00	Facility		$390.00	$390.00	$390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.66 / $724.10 / $995.83	Professional		$537.66	$724.10	$995.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $978.00	Professional		$60.00	$60.00	$978.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $600.00 / $756.00	Facility		$390.00	$600.00	$756.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.82 / $726.00 / $864.00	Professional		$616.82	$726.00	$864.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $360.00	Professional		$252.00	$252.00	$360.00