Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.69 / $605.39 / $1,210.77	Facility		$302.69	$605.39	$1,210.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.69 / $484.31 / $2,595.08	Professional		$302.69	$484.31	$2,595.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $605.38 / $2,109.23 / $3,617.18	Facility		$605.38	$2,109.23	$3,617.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.33 / $262.33 / $262.33	Facility		$262.33	$262.33	$262.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.54 / $361.54 / $457.95	Professional		$361.54	$361.54	$457.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $625.55 / $657.85 / $657.85	Professional		$625.55	$657.85	$657.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.33 / $303.64 / $508.52	Facility		$262.33	$303.64	$508.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.54 / $488.34 / $560.99	Professional		$361.54	$488.34	$560.99
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $242.15	Professional		$126.57	$126.57	$242.15