Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.21 / $404.21 / $404.21	Facility		$404.21	$404.21	$404.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $551.78 / $2,261.26	Professional		$401.40	$551.78	$2,261.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,556.33 / $4,999.14 / $9,339.58	Facility		$1,556.33	$4,999.14	$9,339.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.99 / $585.32 / $697.42	Professional		$438.99	$585.32	$697.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $440.05	Facility		$440.05	$440.05	$440.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $440.05 / $440.05	Professional		$321.24	$440.05	$440.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $858.66 / $1,073.33 / $1,609.99	Professional		$858.66	$1,073.33	$1,609.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $215.25 / $550.65	Facility		$215.25	$215.25	$550.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $440.05 / $839.58	Professional		$321.24	$440.05	$839.58
United Facility/Professional Professional Modifier Low / Median / High Price $308.27 / $417.80 / $510.22	Professional		$308.27	$417.80	$510.22