Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.42 / $414.42 / $414.42	Facility		$414.42	$414.42	$414.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.42 / $565.72 / $2,669.33	Professional		$414.42	$565.72	$2,669.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.08 / $600.11 / $715.04	Professional		$450.08	$600.11	$715.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $500.58	Facility		$500.58	$500.58	$500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $500.58 / $500.58	Professional		$365.42	$500.58	$500.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $600.99 / $751.24 / $1,126.85	Professional		$600.99	$751.24	$1,126.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $223.48 / $564.55	Facility		$223.48	$223.48	$564.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $500.58 / $960.29	Professional		$365.42	$500.58	$960.29
United Facility/Professional Professional Modifier Low / Median / High Price $320.06 / $384.66 / $529.73	Professional		$320.06	$384.66	$529.73