Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.16 / $1,047.00 / $7,838.38	Facility		$155.16	$1,047.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $136.28 / $197.62	Professional		$54.92	$136.28	$197.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.12 / $1,727.50 / $2,814.94	Facility		$471.12	$1,727.50	$2,814.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $137.16 / $208.79	Professional		$67.95	$137.16	$208.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $127.13 / $244.83	Professional		$61.85	$127.13	$244.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $226.46	Professional		$32.34	$32.34	$226.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $90.86 / $283.87	Facility		$42.76	$90.86	$283.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $127.13 / $260.76	Professional		$67.06	$127.13	$260.76
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 $187.44 / $234.29 / $293.94	Professional		$187.44	$234.29	$293.94