Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.92 / $356.92 / $356.92	Facility		$356.92	$356.92	$356.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.92 / $586.95 / $2,656.81	Professional		$356.92	$586.95	$2,656.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $997.92 / $3,574.68 / $5,988.55	Facility		$997.92	$3,574.68	$5,988.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.40 / $443.20 / $657.45	Professional		$332.40	$443.20	$657.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.80 / $647.80 / $647.80	Facility		$647.80	$647.80	$647.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $472.90 / $756.44	Professional		$472.90	$472.90	$756.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $481.75 / $688.22 / $1,032.33	Professional		$481.75	$688.22	$1,032.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.36 / $406.36 / $647.80	Facility		$406.36	$406.36	$647.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $647.80 / $1,015.62	Professional		$472.90	$647.80	$1,015.62
United Facility/Professional Professional Modifier Low / Median / High Price $440.21 / $459.39 / $733.69	Professional		$440.21	$459.39	$733.69