Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.04 / $645.04 / $645.04	Facility		$645.04	$645.04	$645.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.04 / $990.61 / $5,060.58	Professional		$645.04	$990.61	$5,060.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.12 / $1,050.83 / $1,252.08	Professional		$788.12	$1,050.83	$1,252.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $830.86	Facility		$830.86	$830.86	$830.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $830.86 / $830.86	Professional		$606.53	$830.86	$830.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.86 / $1,926.95 / $2,697.73	Professional		$1,348.86	$1,926.95	$2,697.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.68 / $423.68 / $988.58	Facility		$423.68	$423.68	$988.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $830.86 / $1,836.38	Professional		$606.53	$830.86	$1,836.38
United Facility/Professional Professional Modifier Low / Median / High Price $595.89 / $656.27 / $988.58	Professional		$595.89	$656.27	$988.58