Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.63 / $341.63 / $341.63	Facility		$341.63	$341.63	$341.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.63 / $524.65 / $1,951.56	Professional		$341.63	$524.65	$1,951.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.23 / $3,424.36 / $6,062.42	Facility		$1,010.23	$3,424.36	$6,062.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $437.50 / $437.50	Facility		$437.50	$437.50	$437.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $437.50 / $437.50	Professional		$319.38	$437.50	$437.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $557.36 / $696.71 / $1,045.06	Professional		$557.36	$696.71	$1,045.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $453.43 / $453.43	Facility		$437.50	$453.43	$453.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $437.50 / $792.65	Professional		$319.38	$437.50	$792.65
United Facility/Professional Professional Modifier Low / Median / High Price $290.72 / $308.85 / $484.53	Professional		$290.72	$308.85	$484.53