Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.32 / $770.32 / $770.32	Facility		$770.32	$770.32	$770.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.64 / $1,183.00 / $4,532.55	Professional		$707.64	$1,183.00	$4,532.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.19 / $1,254.92 / $1,495.25	Professional		$941.19	$1,254.92	$1,495.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $736.22	Facility		$736.22	$736.22	$736.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $736.22 / $736.22	Professional		$537.44	$736.22	$736.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,256.76 / $1,570.95 / $2,356.42	Professional		$1,256.76	$1,570.95	$2,356.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $379.47 / $379.47 / $1,180.58	Facility		$379.47	$379.47	$1,180.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $736.22 / $1,386.18	Professional		$537.44	$736.22	$1,386.18
United Facility/Professional Professional Modifier Low / Median / High Price $533.72 / $587.79 / $885.43	Professional		$533.72	$587.79	$885.43