Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.41 / $648.41 / $648.41	Facility		$648.41	$648.41	$648.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.41 / $831.48 / $4,841.62	Professional		$648.41	$831.48	$4,841.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.24 / $1,056.32 / $1,258.63	Professional		$792.24	$1,056.32	$1,258.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.60 / $840.60 / $840.60	Facility		$840.60	$840.60	$840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $840.60 / $840.60	Professional		$613.64	$840.60	$840.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,549.62 / $1,937.03 / $2,905.54	Professional		$1,549.62	$1,937.03	$2,905.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.35 / $405.35 / $993.74	Facility		$405.35	$405.35	$993.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $840.60 / $1,549.62	Professional		$613.64	$840.60	$1,549.62
United Facility/Professional Professional Modifier Low / Median / High Price $566.91 / $627.88 / $945.81	Professional		$566.91	$627.88	$945.81