Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.14 / $410.14 / $410.14	Facility		$410.14	$410.14	$410.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.14 / $629.86 / $2,773.95	Professional		$410.14	$629.86	$2,773.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,776.58 / $5,706.63 / $10,661.34	Facility		$1,776.58	$5,706.63	$10,661.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.12 / $668.16 / $796.12	Professional		$501.12	$668.16	$796.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.57 / $450.57 / $450.57	Facility		$450.57	$450.57	$450.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $450.57 / $450.57	Professional		$328.92	$450.57	$450.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $980.18 / $1,225.23 / $1,837.84	Professional		$980.18	$1,225.23	$1,837.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.24 / $232.24 / $628.59	Facility		$232.24	$232.24	$628.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $450.57 / $980.18	Professional		$328.92	$450.57	$980.18
United Facility/Professional Professional Modifier Low / Median / High Price $326.64 / $359.73 / $541.89	Professional		$326.64	$359.73	$541.89