Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,000.00	Professional		$912.01	$912.01	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,071.52 / $1,071.52	Professional		$562.34	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,096.48	Professional		$489.78	$724.44	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $912.01 / $1,819.70	Facility		$181.97	$912.01	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $616.60	Professional		$125.89	$125.89	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $489.78 / $1,659.59	Professional		$125.89	$489.78	$1,659.59