Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.22 / $527.22 / $527.22	Facility		$527.22	$527.22	$527.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.74 / $719.70 / $3,367.46	Professional		$525.74	$719.70	$3,367.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.60 / $763.46 / $909.67	Professional		$572.60	$763.46	$909.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $612.94	Facility		$612.94	$612.94	$612.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $612.94 / $612.94	Professional		$447.45	$612.94	$612.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $764.57 / $955.72 / $1,433.58	Professional		$764.57	$955.72	$1,433.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.93 / $281.93 / $718.22	Facility		$281.93	$281.93	$718.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $612.94 / $1,025.81	Professional		$447.45	$612.94	$1,025.81
United Facility/Professional Facility Modifier Low / Median / High Price $577.08 / $577.08 / $577.08	Facility		$577.08	$577.08	$577.08
United Facility/Professional Professional Modifier Low / Median / High Price $403.77 / $436.70 / $672.95	Professional		$403.77	$436.70	$672.95