Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.72 / $868.72 / $868.72	Facility		$868.72	$868.72	$868.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.72 / $1,334.11 / $6,202.52	Professional		$868.72	$1,334.11	$6,202.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,568.85 / $8,707.85 / $15,415.75	Facility		$2,568.85	$8,707.85	$15,415.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $1,107.01	Facility		$1,107.01	$1,107.01	$1,107.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,107.01 / $1,107.01	Professional		$808.12	$1,107.01	$1,107.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,417.29 / $1,771.62 / $2,657.43	Professional		$1,417.29	$1,771.62	$2,657.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.59 / $570.59 / $1,331.38	Facility		$570.59	$570.59	$1,331.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,107.01 / $2,078.14	Professional		$808.12	$1,107.01	$2,078.14
United Facility/Professional Professional Modifier Low / Median / High Price $802.52 / $883.84 / $1,331.38	Professional		$802.52	$883.84	$1,331.38