Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.17 / $1,339.88 / $1,339.88	Facility		$625.17	$1,339.88	$1,339.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.51 / $486.97 / $2,679.90	Professional		$475.51	$486.97	$2,679.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.19 / $2,613.78 / $4,482.42	Facility		$750.19	$2,613.78	$4,482.42
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 / $731.48 / $1,005.99	Professional		$373.33	$731.48	$1,005.99
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 / $572.91 / $648.33	Facility		$270.91	$572.91	$648.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.30 / $552.23 / $866.94	Professional		$479.30	$552.23	$866.94
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $240.62 / $250.07	Professional		$175.05	$240.62	$250.07