Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.46 / $883.46 / $883.46	Facility		$883.46	$883.46	$883.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.46 / $1,046.19 / $1,342.62	Professional		$883.46	$1,046.19	$1,342.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $134.41 / $160.16	Professional		$100.82	$134.41	$160.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $144.13	Professional		$91.49	$107.63	$144.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $252.40 / $1,564.80	Professional		$98.14	$252.40	$1,564.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $521.10 / $1,342.62	Facility		$107.63	$521.10	$1,342.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $197.20	Professional		$91.49	$107.63	$197.20
United Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $92.41 / $808.54	Professional		$74.63	$92.41	$808.54