Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,380.38	Facility		$501.19	$776.25	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $2,754.23	Professional		$281.84	$416.87	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,691.53 / $4,466.84	Facility		$1,071.52	$2,691.53	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $389.05	Professional		$257.04	$338.84	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $870.96	Professional		$371.54	$616.60	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,071.52	Professional		$645.65	$645.65	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $575.44 / $1,230.27	Facility		$281.84	$575.44	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $870.96	Professional		$371.54	$602.56	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $251.19	Professional		$173.78	$239.88	$251.19