Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.89 / $525.89 / $525.89	Facility		$525.89	$525.89	$525.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.89 / $807.62 / $4,104.97	Professional		$525.89	$807.62	$4,104.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.67 / $672.89 / $967.11	Professional		$504.67	$672.89	$967.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $854.15	Facility		$854.15	$854.15	$854.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $854.15 / $854.15	Professional		$623.53	$854.15	$854.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $809.89 / $1,012.37 / $1,518.55	Professional		$809.89	$1,012.37	$1,518.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $288.18 / $854.15	Facility		$288.18	$288.18	$854.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.52 / $854.15 / $1,054.71	Professional		$577.52	$854.15	$1,054.71
United Facility/Professional Professional Modifier Low / Median / High Price $593.27 / $630.26 / $988.78	Professional		$593.27	$630.26	$988.78