Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.67 / $856.67 / $856.67	Facility		$856.67	$856.67	$856.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.67 / $1,315.59 / $5,996.89	Professional		$856.67	$1,315.59	$5,996.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.68 / $1,395.57 / $1,662.85	Professional		$1,046.68	$1,395.57	$1,662.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $1,108.41	Facility		$1,108.41	$1,108.41	$1,108.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $1,108.41 / $1,108.41	Professional		$809.14	$1,108.41	$1,108.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,047.29 / $2,559.12 / $3,838.68	Professional		$2,047.29	$2,559.12	$3,838.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.66 / $562.66 / $1,312.90	Facility		$562.66	$562.66	$1,312.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $1,108.41 / $2,047.30	Professional		$809.14	$1,108.41	$2,047.30
United Facility/Professional Professional Modifier Low / Median / High Price $791.38 / $871.57 / $1,312.90	Professional		$791.38	$871.57	$1,312.90