Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.53 / $524.53 / $524.53	Facility		$524.53	$524.53	$524.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.53 / $805.53 / $3,861.80	Professional		$524.53	$805.53	$3,861.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.88 / $854.50 / $1,018.15	Professional		$640.88	$854.50	$1,018.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $627.26	Facility		$627.26	$627.26	$627.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $457.90 / $1,233.44	Professional		$457.90	$457.90	$1,233.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $855.75 / $1,069.69 / $1,604.53	Professional		$855.75	$1,069.69	$1,604.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.31 / $323.31 / $803.88	Facility		$323.31	$323.31	$803.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $627.26 / $1,327.19	Professional		$457.90	$627.26	$1,327.19
United Facility/Professional Facility Modifier Low / Median / High Price $385.87 / $496.34 / $540.21	Facility		$385.87	$496.34	$540.21
United Facility/Professional Professional Modifier Low / Median / High Price $454.73 / $500.81 / $754.40	Professional		$454.73	$500.81	$754.40