Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.42 / $3,328.04 / $7,838.38	Facility		$116.42	$3,328.04	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.86 / $116.42 / $160.36	Professional		$57.86	$116.42	$160.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $858.71 / $3,148.70 / $5,130.76	Facility		$858.71	$3,148.70	$5,130.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $118.12 / $181.41	Professional		$51.97	$118.12	$181.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $129.93 / $196.65	Professional		$78.84	$129.93	$196.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $104.47 / $187.38	Professional		$20.89	$104.47	$187.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $128.94 / $197.66	Facility		$71.52	$128.94	$197.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $156.46 / $224.48	Professional		$79.23	$156.46	$224.48
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,327.00	Facility		$230.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $179.41 / $229.46	Professional		$114.40	$179.41	$229.46