Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $1,231.67 / $1,231.67	Facility		$771.56	$1,231.67	$1,231.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $979.88 / $3,593.31	Professional		$771.56	$979.88	$3,593.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,470.75 / $5,392.95 / $8,787.73	Facility		$1,470.75	$5,392.95	$8,787.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.55 / $893.55 / $931.65	Professional		$893.55	$893.55	$931.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Facility		$771.56	$771.56	$771.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $998.64 / $998.64 / $998.64	Professional		$998.64	$998.64	$998.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $771.56 / $980.50	Facility		$771.56	$771.56	$980.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56
United Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56