Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.70 / $1,269.40 / $6,262.62	Facility		$634.70	$1,269.40	$6,262.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $1,015.52 / $5,441.52	Professional		$634.70	$1,015.52	$5,441.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $4,395.60 / $7,584.69	Facility		$846.27	$4,395.60	$7,584.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.19 / $692.25 / $846.27	Professional		$519.19	$692.25	$846.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.08 / $550.08 / $550.08	Facility		$550.08	$550.08	$550.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.12 / $758.12 / $960.55	Professional		$758.12	$758.12	$960.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,311.72 / $1,379.42 / $1,379.42	Professional		$1,311.72	$1,379.42	$1,379.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.08 / $1,066.30 / $1,459.50	Facility		$550.08	$1,066.30	$1,459.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $973.21 / $1,070.53 / $1,218.63	Professional		$973.21	$1,070.53	$1,218.63
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $355.43 / $507.76	Professional		$355.43	$355.43	$507.76