Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.70 / $795.70 / $795.70	Facility		$795.70	$795.70	$795.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.70 / $1,221.97 / $5,280.61	Professional		$795.70	$1,221.97	$5,280.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $972.20 / $1,296.26 / $1,544.51	Professional		$972.20	$1,296.26	$1,544.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $857.71 / $857.71	Facility		$857.71	$857.71	$857.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $857.71 / $857.72	Professional		$626.13	$857.71	$857.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,298.16 / $1,622.70 / $2,434.05	Professional		$1,298.16	$1,622.70	$2,434.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.10 / $442.10 / $1,219.48	Facility		$442.10	$442.10	$1,219.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $857.71 / $1,916.23	Professional		$626.13	$857.71	$1,916.23
United Facility/Professional Professional Modifier Low / Median / High Price $621.79 / $684.80 / $1,031.57	Professional		$621.79	$684.80	$1,031.57