Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,445.44	Professional		$660.69	$794.33	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,479.11	Professional		$977.24	$1,288.25	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $2,041.74	Professional		$630.96	$630.96	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,454.71	Professional		$1,288.25	$1,621.81	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,230.27 / $1,862.09	Facility		$446.68	$1,230.27	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $2,187.76	Professional		$630.96	$630.96	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $758.58 / $1,862.09	Facility		$524.81	$758.58	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $1,023.29	Professional		$616.60	$691.83	$1,023.29