Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.44 / $378.44 / $378.44	Facility		$378.44	$378.44	$378.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.44 / $581.17 / $2,604.13	Professional		$378.44	$581.17	$2,604.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.38 / $616.51 / $734.58	Professional		$462.38	$616.51	$734.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $488.53	Facility		$488.53	$488.53	$488.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $488.53 / $488.53	Professional		$356.63	$488.53	$488.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $771.77 / $1,157.65	Professional		$617.41	$771.77	$1,157.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.26 / $232.26 / $700.27	Facility		$232.26	$232.26	$700.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $488.53 / $904.42	Professional		$356.63	$488.53	$904.42
United Facility/Professional Professional Modifier Low / Median / High Price $332.63 / $359.77 / $541.94	Professional		$332.63	$359.77	$541.94