Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.69 / $486.69 / $486.69	Facility		$486.69	$486.69	$486.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.83 / $664.37 / $2,471.30	Professional		$470.83	$664.37	$2,471.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.57 / $704.76 / $839.73	Professional		$528.57	$704.76	$839.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $624.54	Facility		$624.54	$624.54	$624.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $624.54 / $624.54	Professional		$455.91	$624.54	$624.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $705.79 / $882.24 / $1,323.36	Professional		$705.79	$882.24	$1,323.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.48 / $252.48 / $662.98	Facility		$252.48	$252.48	$662.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $624.54 / $1,003.74	Professional		$455.91	$624.54	$1,003.74
United Facility/Professional Professional Modifier Low / Median / High Price $361.60 / $391.10 / $598.48	Professional		$361.60	$391.10	$598.48