Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,398.83	Professional		$1,071.52	$1,445.44	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $218.78	Professional		$117.49	$147.91	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,071.52 / $1,071.52	Professional		$162.18	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $346.74 / $2,884.03	Professional		$134.90	$346.74	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,122.02 / $1,778.28	Facility		$630.96	$1,122.02	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $912.01 / $1,071.52	Professional		$162.18	$912.01	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $891.25 / $1,548.82	Facility		$89.13	$891.25	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,479.11	Professional		$831.76	$977.24	$1,479.11