Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.86 / $387.86 / $387.86	Facility		$387.86	$387.86	$387.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.86 / $595.64 / $3,042.91	Professional		$387.86	$595.64	$3,042.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.90 / $631.86 / $903.44	Professional		$473.90	$631.86	$903.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $494.25	Facility		$494.25	$494.25	$494.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $494.25 / $494.25	Professional		$360.80	$494.25	$494.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $632.78 / $790.98 / $1,186.47	Professional		$632.78	$790.98	$1,186.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.75 / $254.75 / $594.42	Facility		$254.75	$254.75	$594.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $494.25 / $1,030.76	Professional		$360.80	$494.25	$1,030.76
United Facility/Professional Professional Modifier Low / Median / High Price $358.31 / $394.61 / $594.42	Professional		$358.31	$394.61	$594.42