Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.97 / $758.97 / $1,424.16	Facility		$758.97	$758.97	$1,424.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.64 / $1,017.19 / $1,139.33	Professional		$877.64	$1,017.19	$1,139.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.33 / $508.47 / $851.86	Professional		$500.33	$508.47	$851.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.77 / $688.77 / $688.77	Facility		$688.77	$688.77	$688.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.55 / $1,302.19 / $1,627.74	Professional		$485.55	$1,302.19	$1,627.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $927.44 / $1,219.53 / $1,885.83	Facility		$927.44	$1,219.53	$1,885.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.55 / $1,068.25 / $3,977.68	Professional		$485.55	$1,068.25	$3,977.68
United Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $593.09 / $889.94	Professional		$411.98	$593.09	$889.94