Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.86 / $492.86 / $492.86	Facility		$492.86	$492.86	$492.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.04 / $425.42 / $492.86	Professional		$415.04	$425.42	$492.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.66 / $1,231.22 / $2,006.26	Facility		$484.66	$1,231.22	$2,006.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $440.98 / $440.98	Facility		$419.98	$440.98	$440.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.04 / $420.23 / $492.86	Facility		$415.04	$420.23	$492.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98