Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $816.95 / $2,356.63	Facility		$529.26	$816.95	$2,356.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $534.54 / $733.63	Professional		$529.25	$534.54	$733.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.14 / $3,099.09 / $6,367.92	Facility		$842.14	$3,099.09	$6,367.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.47 / $617.94 / $705.33	Professional		$522.47	$617.94	$705.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Facility		$529.26	$529.26	$529.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $571.81 / $571.81 / $571.81	Professional		$571.81	$571.81	$571.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $529.26 / $620.10	Facility		$529.26	$529.26	$620.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26