Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.39 / $451.39 / $451.39	Facility		$451.39	$451.39	$451.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.88 / $616.17 / $2,188.63	Professional		$381.88	$616.17	$2,188.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.23 / $653.64 / $778.82	Professional		$490.23	$653.64	$778.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $528.47	Facility		$528.47	$528.47	$528.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $528.47 / $528.47	Professional		$385.78	$528.47	$528.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $654.60 / $818.25 / $1,227.37	Professional		$654.60	$818.25	$1,227.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.78 / $204.78 / $614.91	Facility		$204.78	$204.78	$614.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $528.47 / $958.88	Professional		$385.78	$528.47	$958.88
United Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $363.11 / $485.41	Professional		$293.27	$363.11	$485.41