Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $741.31	Professional		$380.19	$467.74	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $794.33	Professional		$524.81	$707.95	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $1,288.25	Professional		$457.09	$457.09	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,318.26	Professional		$707.95	$891.25	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $630.96 / $891.25	Facility		$251.19	$630.96	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $1,023.29	Professional		$457.09	$457.09	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $588.84 / $1,071.52	Facility		$302.00	$588.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $588.84	Professional		$363.08	$426.58	$588.84