Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $825.30 / $825.30	Facility		$546.29	$825.30	$825.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $606.92 / $1,745.57	Professional		$546.29	$606.92	$1,745.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.51 / $3,052.62 / $4,956.35	Facility		$829.51	$3,052.62	$4,956.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Facility		$546.29	$546.29	$546.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $563.24 / $563.24 / $563.24	Professional		$563.24	$563.24	$563.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $747.41 / $946.52	Facility		$546.29	$747.41	$946.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29