Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.94 / $1,899.42 / $1,899.42	Facility		$532.94	$1,899.42	$1,899.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.94 / $649.64 / $3,044.44	Professional		$532.94	$649.64	$3,044.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,575.92 / $5,341.89 / $9,457.14	Facility		$1,575.92	$5,341.89	$9,457.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.15 / $868.20 / $1,034.47	Professional		$651.15	$868.20	$1,034.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $702.03	Facility		$702.03	$702.03	$702.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $702.03 / $702.03	Professional		$512.48	$702.03	$702.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $869.47 / $1,086.83 / $1,630.26	Professional		$869.47	$1,086.83	$1,630.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.04 / $311.04 / $816.76	Facility		$311.04	$311.04	$816.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $702.03 / $1,236.52	Professional		$512.48	$702.03	$1,236.52
United Facility/Professional Professional Modifier Low / Median / High Price $437.48 / $481.81 / $725.77	Professional		$437.48	$481.81	$725.77