Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $707.95	Professional		$549.54	$549.54	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,000.00	Professional		$489.78	$660.69	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $630.96	Professional		$549.54	$549.54	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $549.54 / $1,659.59	Facility		$190.55	$549.54	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,949.84	Professional		$125.89	$125.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,691.53 / $2,818.38	Professional		$125.89	$2,691.53	$2,818.38