Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.39 / $962.78 / $1,925.55	Facility		$481.39	$962.78	$1,925.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.39 / $770.22 / $4,127.10	Professional		$481.39	$770.22	$4,127.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.33 / $4,025.32 / $6,903.10	Facility		$1,155.33	$4,025.32	$6,903.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.77 / $525.03 / $603.34	Professional		$393.77	$525.03	$603.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.20 / $417.20 / $417.20	Facility		$417.20	$417.20	$417.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.17 / $575.17 / $728.30	Professional		$575.17	$575.17	$728.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $994.87 / $1,046.22 / $1,046.22	Professional		$994.87	$1,046.22	$1,046.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $417.20 / $617.71 / $808.73	Facility		$417.20	$617.71	$808.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.17 / $776.64 / $892.17	Professional		$575.17	$776.64	$892.17
United Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $120.89 / $385.11	Professional		$120.89	$120.89	$385.11