Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,140.00 / $2,280.00	Facility		$570.00	$1,140.00	$2,280.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $912.00 / $4,886.80	Professional		$570.00	$912.00	$4,886.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.00 / $4,054.98 / $6,811.50	Facility		$1,140.00	$4,054.98	$6,811.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $494.00 / $494.00	Facility		$494.00	$494.00	$494.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.90 / $749.10 / $1,002.40	Professional		$593.90	$749.10	$1,002.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,238.80	Professional		$60.00	$60.00	$1,238.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $602.10 / $957.60	Facility		$494.00	$602.10	$957.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $620.89 / $874.00 / $1,056.40	Professional		$620.89	$874.00	$1,056.40
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $252.88 / $456.00	Professional		$252.88	$252.88	$456.00