Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.88 / $412.88 / $412.88	Facility		$412.88	$412.88	$412.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.88 / $634.05 / $3,228.14	Professional		$412.88	$634.05	$3,228.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.46 / $672.61 / $801.42	Professional		$504.46	$672.61	$801.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $524.34	Facility		$524.34	$524.34	$524.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $524.34 / $524.34	Professional		$382.77	$524.34	$524.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $673.59 / $841.99 / $1,262.98	Professional		$673.59	$841.99	$1,262.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.27 / $270.27 / $632.77	Facility		$270.27	$270.27	$632.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $524.34 / $1,171.43	Professional		$382.77	$524.34	$1,171.43
United Facility/Professional Professional Modifier Low / Median / High Price $380.12 / $418.64 / $630.61	Professional		$380.12	$418.64	$630.61