Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.47 / $995.47 / $995.47	Facility		$995.47	$995.47	$995.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.47 / $1,528.76 / $6,790.58	Professional		$995.47	$1,528.76	$6,790.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,216.28 / $1,621.70 / $1,932.28	Professional		$1,216.28	$1,621.70	$1,932.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $1,184.20	Facility		$1,184.20	$1,184.20	$1,184.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $1,184.20 / $1,184.20	Professional		$864.47	$1,184.20	$1,184.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,624.08 / $2,030.10 / $3,045.15	Professional		$1,624.08	$2,030.10	$3,045.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $568.52 / $568.52 / $1,525.64	Facility		$568.52	$568.52	$1,525.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $1,184.20 / $2,464.17	Professional		$864.47	$1,184.20	$2,464.17
United Facility/Professional Professional Modifier Low / Median / High Price $799.60 / $880.62 / $1,326.54	Professional		$799.60	$880.62	$1,326.54