Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.30 / $945.30 / $945.30	Facility		$945.30	$945.30	$945.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $581.25 / $790.33	Professional		$575.50	$581.25	$790.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.66 / $392.66 / $786.54	Professional		$392.66	$392.66	$786.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $575.50 / $822.63	Facility		$575.50	$575.50	$822.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $575.50	Professional		$575.50	$575.50	$575.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $708.35 / $920.85 / $1,239.61	Professional		$708.35	$920.85	$1,239.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $575.50 / $822.63	Facility		$575.50	$575.50	$822.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $849.39	Professional		$575.50	$575.50	$849.39
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $610.03	Professional		$575.50	$575.50	$610.03