Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $824.06 / $6,141.25	Facility		$636.59	$824.06	$6,141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $642.96 / $1,564.38	Professional		$636.59	$642.96	$1,564.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,468.51 / $5,223.51 / $8,774.37	Facility		$1,468.51	$5,223.51	$8,774.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.33 / $719.33 / $971.10	Professional		$719.33	$719.33	$971.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Facility		$636.59	$636.59	$636.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $997.12 / $997.12 / $997.12	Professional		$997.12	$997.12	$997.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $636.59 / $683.17	Facility		$636.59	$636.59	$683.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59