Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.39 / $606.78 / $1,213.56	Facility		$303.39	$606.78	$1,213.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $485.42 / $2,601.06	Professional		$303.39	$485.42	$2,601.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.78 / $2,114.10 / $3,625.51	Facility		$606.78	$2,114.10	$3,625.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.94 / $262.94 / $262.94	Facility		$262.94	$262.94	$262.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.47 / $362.47 / $459.18	Professional		$362.47	$362.47	$459.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $627.01 / $659.37 / $659.37	Professional		$627.01	$659.37	$659.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.94 / $330.84 / $509.70	Facility		$262.94	$330.84	$509.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.47 / $489.47 / $562.28	Professional		$362.47	$489.47	$562.28
United Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $137.91 / $242.71	Professional		$137.91	$137.91	$242.71