Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.75 / $1,345.50 / $2,691.00	Facility		$672.75	$1,345.50	$2,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.77 / $1,076.40 / $5,767.71	Professional		$457.77	$1,076.40	$5,767.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,345.50 / $4,785.93 / $8,039.36	Facility		$1,345.50	$4,785.93	$8,039.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.32 / $733.75 / $843.18	Professional		$502.32	$733.75	$843.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.04 / $583.04 / $583.04	Facility		$583.04	$583.04	$583.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.71 / $1,030.84 / $1,288.56	Professional		$803.71	$1,030.84	$1,288.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $493.35 / $1,390.35 / $1,462.11	Professional		$493.35	$1,390.35	$1,462.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $448.50 / $852.15 / $1,076.40	Facility		$448.50	$852.15	$1,076.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $735.54 / $1,031.55 / $1,246.83	Professional		$735.54	$1,031.55	$1,246.83
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $376.74 / $538.20	Professional		$376.74	$376.74	$538.20