Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,174.90	Professional		$588.84	$707.95	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,174.90	Professional		$794.33	$1,047.13	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,949.84	Professional		$602.56	$602.56	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,884.03	Professional		$1,348.96	$1,905.46	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,000.00 / $1,778.28	Facility		$426.58	$1,000.00	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $2,089.30	Professional		$602.56	$602.56	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $1,778.28	Facility		$501.19	$724.44	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $1,000.00	Professional		$602.56	$660.69	$1,000.00