Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $809.93 / $809.93	Facility		$508.96	$809.93	$809.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $646.38 / $1,163.54	Professional		$508.96	$646.38	$1,163.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.13 / $2,111.86 / $3,621.66	Facility		$606.13	$2,111.86	$3,621.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Facility		$508.96	$508.96	$508.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $411.56 / $411.56 / $411.56	Professional		$411.56	$411.56	$411.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.98 / $149.97 / $508.96	Facility		$84.98	$149.97	$508.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96