Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $1,698.24	Facility		$645.65	$912.01	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $831.76	Professional		$588.84	$616.60	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,737.80 / $2,951.21	Facility		$707.95	$1,737.80	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $120.23 / $1,122.02	Facility		$104.71	$120.23	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $588.84 / $588.84	Professional		$575.44	$588.84	$588.84