Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.00 / $1,047.00 / $7,838.38	Facility		$297.00	$1,047.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $82.53 / $168.88	Professional		$52.94	$82.53	$168.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.79 / $513.66 / $886.33	Facility		$152.79	$513.66	$886.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $113.18 / $169.38	Professional		$66.26	$113.18	$169.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $131.78 / $242.03	Professional		$80.48	$131.78	$242.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $85.23 / $151.66	Professional		$28.41	$85.23	$151.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $136.43 / $197.70	Facility		$73.81	$136.43	$197.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $131.78 / $242.03	Professional		$80.48	$131.78	$242.03
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.96 / $190.07 / $251.40	Professional		$139.96	$190.07	$251.40