Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.68 / $438.68 / $438.68	Facility		$438.68	$438.68	$438.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $701.88 / $3,760.91	Professional		$438.68	$701.88	$3,760.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $3,038.03 / $5,242.17	Facility		$584.90	$3,038.03	$5,242.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.99 / $478.45 / $584.90	Professional		$310.99	$478.45	$584.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.95 / $839.94 / $1,171.21	Professional		$671.95	$839.94	$1,171.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $906.60 / $953.39	Professional		$321.70	$906.60	$953.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.66 / $643.39 / $2,057.92	Facility		$555.66	$643.39	$2,057.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $739.90 / $1,102.97	Professional		$584.90	$739.90	$1,102.97
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $336.98 / $350.94	Professional		$245.66	$336.98	$350.94