Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $1,138.57 / $2,277.15	Facility		$569.29	$1,138.57	$2,277.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $910.86 / $4,880.68	Professional		$569.29	$910.86	$4,880.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $3,535.35 / $6,604.87	Facility		$759.05	$3,535.35	$6,604.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.67 / $620.90 / $759.05	Professional		$465.67	$620.90	$759.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $493.38 / $493.38	Facility		$493.38	$493.38	$493.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.39 / $971.25 / $1,171.21	Professional		$791.39	$971.25	$1,171.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $417.48 / $1,176.53 / $1,237.25	Professional		$417.48	$1,176.53	$1,237.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $721.10 / $910.86	Facility		$455.43	$721.10	$910.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $657.91 / $872.91 / $1,102.97	Professional		$657.91	$872.91	$1,102.97
United Facility/Professional Facility Modifier Low / Median / High Price $481.40 / $722.10 / $1,138.58	Facility		$481.40	$722.10	$1,138.58
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $336.98 / $455.43	Professional		$318.80	$336.98	$455.43