Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,000.00	Professional		$467.74	$630.96	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $933.25	Professional		$630.96	$831.76	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,995.26	Professional		$562.34	$562.34	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,290.87	Professional		$1,230.27	$1,513.56	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $776.25 / $1,348.96	Facility		$338.84	$776.25	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,412.54	Professional		$562.34	$562.34	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $1,412.54	Facility		$398.11	$575.44	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $776.25	Professional		$467.74	$524.81	$776.25