Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.83 / $428.83 / $428.83	Facility		$428.83	$428.83	$428.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.83 / $658.56 / $3,179.80	Professional		$428.83	$658.56	$3,179.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,268.07 / $4,298.47 / $7,609.72	Facility		$1,268.07	$4,298.47	$7,609.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.95 / $698.60 / $832.39	Professional		$523.95	$698.60	$832.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $565.73	Facility		$565.73	$565.73	$565.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $565.73 / $565.73	Professional		$412.98	$565.73	$565.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $699.62 / $874.53 / $1,311.79	Professional		$699.62	$874.53	$1,311.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.66 / $281.66 / $657.21	Facility		$281.66	$281.66	$657.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $565.73 / $1,024.83	Professional		$412.98	$565.73	$1,024.83
United Facility/Professional Professional Modifier Low / Median / High Price $396.15 / $436.30 / $657.21	Professional		$396.15	$436.30	$657.21