Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,905.46 / $1,995.26	Facility		$891.25	$1,905.46	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $1,412.54	Professional		$446.68	$478.63	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,235.94 / $5,370.32	Facility		$891.25	$3,235.94	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $602.56	Professional		$316.23	$363.08	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $851.14	Professional		$537.03	$676.08	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $933.25 / $1,288.25	Professional		$331.13	$933.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $724.44 / $1,778.28	Facility		$389.05	$724.44	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $851.14	Professional		$537.03	$660.69	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $2,187.76	Facility		$537.03	$537.03	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $39.81 / $354.81	Professional		$35.48	$39.81	$354.81