Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.72 / $529.72 / $529.72	Facility		$529.72	$529.72	$529.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.72 / $813.49 / $3,025.98	Professional		$529.72	$813.49	$3,025.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.21 / $862.95 / $1,028.22	Professional		$647.21	$862.95	$1,028.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $695.41	Facility		$695.41	$695.41	$695.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $695.41 / $695.41	Professional		$507.65	$695.41	$695.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $864.21 / $1,080.27 / $1,620.40	Professional		$864.21	$1,080.27	$1,620.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.16 / $309.16 / $811.84	Facility		$309.16	$309.16	$811.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $695.41 / $1,229.03	Professional		$507.65	$695.41	$1,229.03
United Facility/Professional Professional Modifier Low / Median / High Price $434.83 / $478.89 / $721.38	Professional		$434.83	$478.89	$721.38