Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $501.84	Facility		$459.52	$459.52	$501.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $401.47 / $483.70	Professional		$386.96	$401.47	$483.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $788.79 / $2,003.83 / $3,265.22	Facility		$788.79	$2,003.83	$3,265.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Professional		$411.15	$411.15	$411.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $452.91 / $466.49 / $1,500.00	Professional		$452.91	$466.49	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.96 / $411.15 / $483.70	Facility		$386.96	$411.15	$483.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $503.85	Professional		$411.15	$411.15	$503.85
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $403.08 / $427.26	Professional		$403.08	$403.08	$427.26