Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.56 / $878.56 / $878.56	Facility		$878.56	$878.56	$878.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.56 / $996.99 / $6,385.91	Professional		$878.56	$996.99	$6,385.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,597.92 / $8,806.44 / $15,590.22	Facility		$2,597.92	$8,806.44	$15,590.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.43 / $1,431.24 / $1,705.34	Professional		$1,073.43	$1,431.24	$1,705.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,037.25	Facility		$1,037.25	$1,037.25	$1,037.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,037.25 / $1,037.25	Professional		$757.19	$1,037.25	$1,037.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,433.33 / $1,791.67 / $2,687.50	Professional		$1,433.33	$1,791.67	$2,687.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,215.80 / $1,215.80	Facility		$1,037.25	$1,215.80	$1,215.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,037.25 / $2,099.62	Professional		$757.19	$1,037.25	$2,099.62
United Facility/Professional Professional Modifier Low / Median / High Price $765.69 / $828.14 / $1,246.24	Professional		$765.69	$828.14	$1,246.24