Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.73 / $590.73 / $590.73	Facility		$590.73	$590.73	$590.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.73 / $907.20 / $3,374.57	Professional		$590.73	$907.20	$3,374.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.76 / $962.34 / $1,146.65	Professional		$721.76	$962.34	$1,146.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $736.69	Facility		$736.69	$736.69	$736.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $1,472.74	Professional		$537.78	$537.78	$1,472.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,411.75 / $1,764.69 / $2,647.03	Professional		$1,411.75	$1,764.69	$2,647.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.78 / $344.78 / $905.35	Facility		$344.78	$344.78	$905.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $736.69 / $1,403.52	Professional		$537.78	$736.69	$1,403.52
United Facility/Professional Professional Modifier Low / Median / High Price $484.93 / $534.05 / $804.49	Professional		$484.93	$534.05	$804.49