Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $756.00 / $1,512.00	Facility		$378.00	$756.00	$1,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $604.79 / $3,240.72	Professional		$378.00	$604.79	$3,240.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $2,617.83 / $4,517.10	Facility		$504.00	$2,617.83	$4,517.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.98 / $412.27 / $504.00	Professional		$267.98	$412.27	$504.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.60 / $327.60 / $327.60	Facility		$327.60	$327.60	$327.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.46 / $579.03 / $723.78	Professional		$451.46	$579.03	$723.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $781.20 / $821.52	Professional		$277.20	$781.20	$821.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $478.80 / $604.79	Facility		$302.39	$478.80	$604.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.28 / $579.60 / $700.56	Professional		$413.28	$579.60	$700.56
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $211.68 / $302.39	Professional		$211.68	$211.68	$302.39