Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.92 / $503.92 / $503.92	Facility		$503.92	$503.92	$503.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.92 / $642.15 / $3,953.44	Professional		$503.92	$642.15	$3,953.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,490.12 / $5,051.18 / $8,942.27	Facility		$1,490.12	$5,051.18	$8,942.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.70 / $820.93 / $978.15	Professional		$615.70	$820.93	$978.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $700.00 / $700.00	Professional		$511.00	$700.00	$700.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $822.13 / $1,027.67 / $1,541.50	Professional		$822.13	$1,027.67	$1,541.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $330.98 / $772.30	Facility		$330.98	$330.98	$772.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $700.00 / $1,204.30	Professional		$511.00	$700.00	$1,204.30
United Facility/Professional Professional Modifier Low / Median / High Price $465.52 / $512.69 / $772.30	Professional		$465.52	$512.69	$772.30