Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.69 / $526.69 / $526.69	Facility		$526.69	$526.69	$526.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.69 / $718.97 / $3,672.89	Professional		$526.69	$718.97	$3,672.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.01 / $762.68 / $908.74	Professional		$572.01	$762.68	$908.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $596.58	Facility		$596.58	$596.58	$596.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $1,173.42	Professional		$435.50	$435.50	$1,173.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,118.84 / $1,398.56 / $2,097.84	Professional		$1,118.84	$1,398.56	$2,097.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.50 / $307.50 / $717.49	Facility		$307.50	$307.50	$717.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $596.58 / $1,118.83	Professional		$435.50	$596.58	$1,118.83
United Facility/Professional Facility Modifier Low / Median / High Price $366.99 / $629.41 / $681.62	Facility		$366.99	$629.41	$681.62
United Facility/Professional Professional Modifier Low / Median / High Price $440.39 / $476.31 / $726.88	Professional		$440.39	$476.31	$726.88