Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.08 / $1,378.00 / $7,838.38	Facility		$659.08	$1,378.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $473.70 / $827.09	Professional		$134.38	$473.70	$827.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.13 / $814.52 / $1,327.26	Facility		$222.13	$814.52	$1,327.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $706.70 / $1,494.42	Professional		$161.97	$706.70	$1,494.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $283.69 / $1,074.75	Professional		$149.56	$283.69	$1,074.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $518.01 / $905.92	Professional		$32.34	$518.01	$905.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.59 / $209.61 / $1,179.31	Facility		$101.59	$209.61	$1,179.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.09 / $283.69 / $1,311.87	Professional		$169.09	$283.69	$1,311.87
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.92 / $1,081.43 / $1,324.20	Professional		$695.92	$1,081.43	$1,324.20