Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.21 / $620.21 / $620.21	Facility		$620.21	$620.21	$620.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.21 / $830.84 / $830.84	Professional		$620.21	$830.84	$830.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $97.97 / $127.52	Professional		$73.48	$97.97	$127.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $775.91 / $775.91	Facility		$775.91	$775.91	$775.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $96.96 / $775.91	Professional		$96.96	$96.96	$775.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $185.04 / $1,575.24	Professional		$98.68	$185.04	$1,575.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.07 / $713.72 / $1,029.78	Facility		$538.07	$713.72	$1,029.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $457.52 / $775.91	Professional		$96.96	$457.52	$775.91
United Facility/Professional Professional Modifier Low / Median / High Price $541.98 / $621.25 / $1,022.13	Professional		$541.98	$621.25	$1,022.13