Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.60 / $721.60 / $721.60	Facility		$721.60	$721.60	$721.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.60 / $1,108.17 / $4,104.97	Professional		$721.60	$1,108.17	$4,104.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.66 / $1,175.55 / $1,400.68	Professional		$881.66	$1,175.55	$1,400.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.49 / $1,014.49 / $1,014.49	Facility		$1,014.49	$1,014.49	$1,014.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $1,014.49 / $1,014.49	Professional		$740.58	$1,014.49	$1,014.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,177.27 / $1,471.59 / $2,207.38	Professional		$1,177.27	$1,471.59	$2,207.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.89 / $406.89 / $1,105.91	Facility		$406.89	$406.89	$1,105.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $1,014.49 / $1,548.94	Professional		$740.58	$1,014.49	$1,548.94
United Facility/Professional Professional Modifier Low / Median / High Price $572.27 / $630.26 / $949.40	Professional		$572.27	$630.26	$949.40