Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.04 / $2,095.00 / $7,838.38	Facility		$179.04	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.04 / $185.24 / $338.54	Professional		$179.04	$185.24	$338.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $77.17 / $77.17	Professional		$77.17	$77.17	$77.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.18 / $416.18 / $498.63	Professional		$416.18	$416.18	$498.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $477.20	Professional		$60.00	$85.00	$477.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.16 / $243.23 / $338.54	Facility		$172.16	$243.23	$338.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $27.46 / $29.85	Professional		$13.42	$27.46	$29.85
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $9,127.00 / $13,891.00	Facility		$790.00	$9,127.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.89 / $410.80 / $624.10	Professional		$323.89	$410.80	$624.10