Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $923.12 / $923.12	Facility		$517.42	$923.12	$923.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.42 / $794.63 / $2,656.81	Professional		$517.42	$794.63	$2,656.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.07 / $5,186.59 / $9,182.00	Facility		$1,530.07	$5,186.59	$9,182.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.21 / $842.94 / $1,004.38	Professional		$632.21	$842.94	$1,004.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $632.51	Facility		$632.51	$632.51	$632.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $632.51 / $632.51	Professional		$461.73	$632.51	$632.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $844.17 / $1,055.22 / $1,582.83	Professional		$844.17	$1,055.22	$1,582.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.57 / $296.57 / $793.00	Facility		$296.57	$296.57	$793.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $632.51 / $1,120.67	Professional		$461.73	$632.51	$1,120.67
United Facility/Professional Professional Modifier Low / Median / High Price $417.12 / $459.39 / $692.00	Professional		$417.12	$459.39	$692.00