Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Facility		$735.05	$735.05	$735.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $742.40 / $933.51	Professional		$735.05	$742.40	$933.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.24 / $958.98 / $966.16	Professional		$719.24	$958.98	$966.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Facility		$735.05	$735.05	$735.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Professional		$735.05	$735.05	$735.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $972.83 / $1,459.24 / $1,524.08	Professional		$972.83	$1,459.24	$1,524.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $933.51	Facility		$735.05	$735.05	$933.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $1,207.70	Professional		$735.05	$735.05	$1,207.70
United Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Professional		$735.05	$735.05	$735.05