Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.59 / $1,423.48 / $1,423.48	Professional		$1,062.59	$1,423.48	$1,423.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $182.90 / $217.93	Professional		$137.18	$182.90	$217.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,082.51 / $1,082.51 / $1,082.51	Facility		$1,082.51	$1,082.51	$1,082.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $1,082.51 / $1,082.51	Professional		$161.82	$1,082.51	$1,082.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.53 / $503.10 / $2,635.56	Professional		$133.53	$503.10	$2,635.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.80 / $1,114.33 / $1,764.31	Facility		$626.80	$1,114.33	$1,764.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $1,082.51 / $1,082.51	Professional		$161.82	$1,082.51	$1,082.51
United Facility/Professional Professional Modifier Low / Median / High Price $822.89 / $963.59 / $1,462.57	Professional		$822.89	$963.59	$1,462.57