Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.50 / $1,371.00 / $2,742.00	Facility		$685.50	$1,371.00	$2,742.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.50 / $1,096.80 / $5,877.02	Professional		$685.50	$1,096.80	$5,877.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $747.65 / $914.00	Professional		$2.14	$747.65	$914.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.10 / $594.10 / $594.10	Facility		$594.10	$594.10	$594.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.90 / $1,050.26 / $1,312.82	Professional		$818.90	$1,050.26	$1,312.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $502.70 / $1,416.70 / $1,489.82	Professional		$502.70	$1,416.70	$1,489.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $868.30 / $1,096.80	Facility		$457.00	$868.30	$1,096.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $749.48 / $1,051.09 / $1,270.46	Professional		$749.48	$1,051.09	$1,270.46
United Facility/Professional Facility Modifier Low / Median / High Price $548.40 / $822.60 / $1,371.00	Facility		$548.40	$822.60	$1,371.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $383.88 / $548.40	Professional		$383.88	$383.88	$548.40