Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.76 / $634.76 / $634.76	Facility		$634.76	$634.76	$634.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.32 / $866.50 / $3,062.66	Professional		$518.32	$866.50	$3,062.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.39 / $919.19 / $1,095.22	Professional		$689.39	$919.19	$1,095.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $582.20	Facility		$582.20	$582.20	$582.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $582.20 / $582.20	Professional		$425.01	$582.20	$582.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $920.52 / $1,150.66 / $1,725.99	Professional		$920.52	$1,150.66	$1,725.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.95 / $277.95 / $864.73	Facility		$277.95	$277.95	$864.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $582.20 / $1,051.11	Professional		$425.01	$582.20	$1,051.11
United Facility/Professional Professional Modifier Low / Median / High Price $398.07 / $430.54 / $658.85	Professional		$398.07	$430.54	$658.85