Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.93 / $460.93 / $460.93	Facility		$460.93	$460.93	$460.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.93 / $707.86 / $3,148.12	Professional		$460.93	$707.86	$3,148.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.16 / $750.89 / $894.70	Professional		$563.16	$750.89	$894.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $511.34	Facility		$511.34	$511.34	$511.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $511.34 / $511.34	Professional		$373.28	$511.34	$511.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $751.99 / $939.99 / $1,409.98	Professional		$751.99	$939.99	$1,409.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.57 / $263.57 / $706.41	Facility		$263.57	$263.57	$706.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $511.34 / $1,090.86	Professional		$373.28	$511.34	$1,090.86
United Facility/Professional Facility Modifier Low / Median / High Price $404.62 / $404.62 / $404.62	Facility		$404.62	$404.62	$404.62
United Facility/Professional Professional Modifier Low / Median / High Price $370.70 / $408.26 / $614.98	Professional		$370.70	$408.26	$614.98