Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.09 / $393.09 / $393.09	Facility		$393.09	$393.09	$393.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.09 / $500.92 / $2,511.92	Professional		$393.09	$500.92	$2,511.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,702.72 / $5,469.37 / $10,218.08	Facility		$1,702.72	$5,469.37	$10,218.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.29 / $640.38 / $763.02	Professional		$480.29	$640.38	$763.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $544.74	Facility		$544.74	$544.74	$544.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $544.74 / $544.74	Professional		$397.66	$544.74	$544.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $939.43 / $1,174.29 / $1,761.43	Professional		$939.43	$1,174.29	$1,761.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.19 / $258.19 / $602.44	Facility		$258.19	$258.19	$602.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $544.74 / $939.43	Professional		$397.66	$544.74	$939.43
United Facility/Professional Professional Modifier Low / Median / High Price $363.14 / $399.93 / $602.44	Professional		$363.14	$399.93	$602.44