Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.58 / $637.25 / $1,250.33	Facility		$312.58	$637.25	$1,250.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.58 / $500.14 / $2,679.90	Professional		$312.58	$500.14	$2,679.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.14 / $2,300.52 / $3,735.21	Facility		$625.14	$2,300.52	$3,735.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.70 / $340.93 / $391.77	Professional		$255.70	$340.93	$391.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $270.91 / $270.91	Facility		$270.91	$270.91	$270.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.33 / $691.95 / $951.62	Professional		$373.33	$691.95	$951.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $646.01 / $679.35 / $679.35	Professional		$646.01	$679.35	$679.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $571.72 / $648.33	Facility		$270.91	$571.72	$648.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.30 / $552.23 / $820.09	Professional		$479.30	$552.23	$820.09
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $240.12 / $250.07	Professional		$175.05	$240.12	$250.07