Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.08 / $543.08 / $543.08	Facility		$543.08	$543.08	$543.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $493.93 / $869.32	Professional		$461.62	$493.93	$869.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.58 / $1,266.78 / $2,172.42	Facility		$363.58	$1,266.78	$2,172.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Facility		$506.88	$506.88	$506.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Professional		$506.88	$506.88	$506.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.87 / $246.87 / $246.87	Professional		$246.87	$246.87	$246.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.12 / $106.51 / $506.88	Facility		$69.12	$106.51	$506.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Professional		$506.88	$506.88	$506.88
United Facility/Professional Professional Modifier Low / Median / High Price $511.40 / $543.08 / $543.08	Professional		$511.40	$543.08	$543.08