Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.08 / $634.08 / $634.08	Facility		$634.08	$634.08	$634.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.08 / $865.56 / $3,466.84	Professional		$634.08	$865.56	$3,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.64 / $918.18 / $1,094.03	Professional		$688.64	$918.18	$1,094.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.43 / $895.43 / $895.43	Facility		$895.43	$895.43	$895.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $895.43 / $895.43	Professional		$653.66	$895.43	$895.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $919.52 / $1,149.41 / $1,724.11	Professional		$919.52	$1,149.41	$1,724.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $359.09 / $895.43	Facility		$359.09	$359.09	$895.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $895.43 / $1,346.96	Professional		$653.66	$895.43	$1,346.96
United Facility/Professional Professional Modifier Low / Median / High Price $514.28 / $619.21 / $838.07	Professional		$514.28	$619.21	$838.07