Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.36 / $2,145.78 / $7,838.38	Facility		$88.36	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $88.36 / $342.00	Professional		$65.48	$88.36	$342.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $514.57 / $882.45	Facility		$147.69	$514.57	$882.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $90.31 / $128.35	Professional		$40.03	$90.31	$128.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $103.17 / $144.18	Professional		$69.29	$103.17	$144.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $77.58 / $138.66	Professional		$15.51	$77.58	$138.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.65 / $86.63 / $147.49	Facility		$61.65	$86.63	$147.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $121.54 / $160.43	Professional		$76.50	$121.54	$160.43
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $128.53 / $163.81	Professional		$85.04	$128.53	$163.81