Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.31 / $423.31 / $423.31	Facility		$423.31	$423.31	$423.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.31 / $547.20 / $547.20	Professional		$423.31	$547.20	$547.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $59.93 / $83.97	Professional		$44.95	$59.93	$83.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $59.64	Professional		$59.64	$59.64	$59.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $113.19 / $1,196.76	Professional		$60.36	$113.19	$1,196.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $449.37 / $479.22 / $710.84	Facility		$449.37	$479.22	$710.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $59.64	Professional		$59.64	$59.64	$59.64
United Facility/Professional Professional Modifier Low / Median / High Price $436.57 / $476.26 / $853.70	Professional		$436.57	$476.26	$853.70