Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.12 / $693.12 / $693.12	Facility		$693.12	$693.12	$693.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.12 / $1,064.43 / $3,959.48	Professional		$693.12	$1,064.43	$3,959.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.86 / $1,129.14 / $1,345.39	Professional		$846.86	$1,129.14	$1,345.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $907.46	Facility		$907.46	$907.46	$907.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $907.46 / $907.46	Professional		$662.45	$907.46	$907.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,130.80 / $1,413.50 / $2,120.25	Professional		$1,130.80	$1,413.50	$2,120.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.54 / $404.54 / $1,062.26	Facility		$404.54	$404.54	$1,062.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $907.46 / $1,608.18	Professional		$662.45	$907.46	$1,608.18
United Facility/Professional Professional Modifier Low / Median / High Price $568.97 / $626.62 / $943.92	Professional		$568.97	$626.62	$943.92