Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $794.33	Professional		$660.69	$660.69	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $776.25 / $776.25	Professional		$181.97	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $741.31	Professional		$660.69	$660.69	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $912.01	Professional		$60.26	$70.79	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $660.69 / $1,819.70	Facility		$190.55	$660.69	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,819.70	Professional		$125.89	$125.89	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,023.29 / $1,659.59	Professional		$125.89	$1,023.29	$1,659.59