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 / $770.22	Professional		$481.39	$770.22	$770.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $3,333.83 / $5,752.58	Facility		$641.85	$3,333.83	$5,752.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.77 / $525.03 / $641.85	Professional		$393.77	$525.03	$641.85
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 / $798.81 / $1,098.58	Professional		$575.17	$798.81	$1,098.58
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 / $641.85 / $808.73	Facility		$417.20	$641.85	$808.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $677.15 / $798.81 / $946.74	Professional		$677.15	$798.81	$946.74
United Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $641.85 / $641.85	Facility		$641.85	$641.85	$641.85
United Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $269.58 / $385.11	Professional		$269.58	$269.58	$385.11