Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $1,148.15	Facility		$426.58	$602.56	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $549.54	Professional		$389.05	$407.38	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,023.29 / $1,698.24	Facility		$478.63	$1,023.29	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $776.25	Facility		$54.95	$79.43	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $389.05	Professional		$380.19	$389.05	$389.05