Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.65 / $1,139.30 / $2,278.59	Facility		$569.65	$1,139.30	$2,278.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $911.44 / $4,883.78	Professional		$455.72	$911.44	$4,883.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.53 / $3,945.07 / $6,807.29	Facility		$759.53	$3,945.07	$6,807.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.97 / $621.29 / $759.53	Professional		$465.97	$621.29	$759.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.69 / $493.69 / $493.69	Facility		$493.69	$493.69	$493.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.61 / $872.67 / $1,090.83	Professional		$680.61	$872.67	$1,090.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $417.74 / $1,177.27 / $1,238.03	Professional		$417.74	$1,177.27	$1,238.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.72 / $721.55 / $911.44	Facility		$455.72	$721.55	$911.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $759.53 / $919.03 / $2,400.00	Professional		$759.53	$919.03	$2,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $272.33 / $455.72	Professional		$35.72	$272.33	$455.72