Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $766.87 / $766.87	Facility		$474.84	$766.87	$766.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.83 / $479.58 / $1,010.30	Professional		$474.83	$479.58	$1,010.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.27 / $991.08 / $1,614.95	Facility		$270.27	$991.08	$1,614.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.64 / $364.64 / $580.07	Professional		$364.64	$364.64	$580.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Facility		$474.84	$474.84	$474.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Professional		$474.84	$474.84	$474.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.51 / $183.51 / $183.51	Professional		$183.51	$183.51	$183.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.76 / $353.01 / $612.53	Facility		$162.76	$353.01	$612.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Professional		$474.84	$474.84	$474.84
United Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Professional		$474.84	$474.84	$474.84