Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $586.92 / $586.92	Facility		$377.52	$586.92	$586.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $381.30 / $788.46	Professional		$377.51	$381.30	$788.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.02 / $1,191.68 / $2,001.77	Facility		$335.02	$1,191.68	$2,001.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $443.96	Professional		$342.87	$342.87	$443.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Facility		$377.52	$377.52	$377.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $227.48 / $227.48	Professional		$227.48	$227.48	$227.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.61 / $182.81 / $377.52	Facility		$104.61	$182.81	$377.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
United Facility/Professional Facility Modifier Low / Median / High Price $370.46 / $370.46 / $370.46	Facility		$370.46	$370.46	$370.46
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52