Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.93 / $442.93 / $442.93	Facility		$442.93	$442.93	$442.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.93 / $604.64 / $2,925.94	Professional		$442.93	$604.64	$2,925.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.05 / $641.40 / $764.24	Professional		$481.05	$641.40	$764.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $663.31	Facility		$663.31	$663.31	$663.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $663.31 / $663.31	Professional		$484.22	$663.31	$663.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $940.93 / $1,176.17 / $1,764.25	Professional		$940.93	$1,176.17	$1,764.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.96 / $244.96 / $663.31	Facility		$244.96	$244.96	$663.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $663.31 / $960.84	Professional		$484.22	$663.31	$960.84
United Facility/Professional Professional Modifier Low / Median / High Price $350.83 / $379.44 / $584.71	Professional		$350.83	$379.44	$584.71