Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,187.76	Facility		$812.83	$1,148.15	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $1,047.13	Professional		$741.31	$758.58	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,122.02 / $1,905.46	Facility		$446.68	$1,122.02	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $891.25	Professional		$645.65	$645.65	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $54.95 / $1,513.56	Facility		$39.81	$54.95	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $741.31 / $741.31	Professional		$707.95	$741.31	$741.31