Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $609.16 / $609.16	Facility		$392.06	$609.16	$609.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $497.92 / $853.12	Professional		$392.06	$497.92	$853.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.99 / $996.43 / $1,708.79	Facility		$285.99	$996.43	$1,708.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Facility		$392.06	$392.06	$392.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.18 / $194.18 / $194.18	Professional		$194.18	$194.18	$194.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.34 / $93.20 / $392.06	Facility		$54.34	$93.20	$392.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06