Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.21 / $411.21 / $411.21	Facility		$411.21	$411.21	$411.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.21 / $631.50 / $2,994.64	Professional		$411.21	$631.50	$2,994.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.94 / $4,121.82 / $7,296.90	Facility		$1,215.94	$4,121.82	$7,296.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.41 / $669.88 / $798.18	Professional		$502.41	$669.88	$798.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $579.51	Facility		$579.51	$579.51	$579.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $579.51 / $579.51	Professional		$423.04	$579.51	$579.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $670.86 / $838.58 / $1,257.86	Professional		$670.86	$838.58	$1,257.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.32 / $262.32 / $741.54	Facility		$262.32	$262.32	$741.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $579.51 / $982.72	Professional		$423.04	$579.51	$982.72
United Facility/Professional Professional Modifier Low / Median / High Price $375.69 / $406.33 / $612.08	Professional		$375.69	$406.33	$612.08