Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.47 / $819.47 / $819.47	Facility		$819.47	$819.47	$819.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.47 / $1,118.65 / $4,884.62	Professional		$819.47	$1,118.65	$4,884.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $890.00 / $1,186.66 / $1,413.92	Professional		$890.00	$1,186.66	$1,413.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,232.20	Facility		$1,232.20	$1,232.20	$1,232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $1,232.20 / $1,232.20	Professional		$899.51	$1,232.20	$1,232.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,188.40 / $1,485.50 / $2,228.25	Professional		$1,188.40	$1,485.50	$2,228.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $478.20 / $1,232.20	Facility		$478.20	$478.20	$1,232.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $1,232.20 / $1,772.53	Professional		$899.51	$1,232.20	$1,772.53
United Facility/Professional Professional Modifier Low / Median / High Price $684.86 / $817.24 / $1,133.51	Professional		$684.86	$817.24	$1,133.51