Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.08 / $620.08 / $620.08	Facility		$620.08	$620.08	$620.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.08 / $846.46 / $3,907.05	Professional		$620.08	$846.46	$3,907.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.45 / $897.93 / $1,069.89	Professional		$673.45	$897.93	$1,069.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $702.38	Facility		$702.38	$702.38	$702.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $702.38 / $702.38	Professional		$512.74	$702.38	$702.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $899.24 / $1,124.06 / $1,686.09	Professional		$899.24	$1,124.06	$1,686.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $844.74	Facility		$362.03	$362.03	$844.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $702.38 / $1,417.79	Professional		$512.74	$702.38	$1,417.79
United Facility/Professional Professional Modifier Low / Median / High Price $518.48 / $560.78 / $858.14	Professional		$518.48	$560.78	$858.14