Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.58 / $603.17 / $1,206.35	Facility		$301.58	$603.17	$1,206.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.58 / $482.54 / $2,585.63	Professional		$301.58	$482.54	$2,585.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.17 / $2,219.69 / $3,604.00	Facility		$603.17	$2,219.69	$3,604.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.38 / $261.38 / $261.38	Facility		$261.38	$261.38	$261.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.30 / $360.30 / $507.11	Professional		$360.30	$360.30	$507.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $623.29 / $655.46 / $655.46	Professional		$623.29	$655.46	$655.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.38 / $552.75 / $625.53	Facility		$261.38	$552.75	$625.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $462.44 / $508.68 / $578.77	Professional		$462.44	$508.68	$578.77
United Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $230.41 / $241.27	Professional		$168.89	$230.41	$241.27