Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $338.84 / $7,762.47	Facility		$104.71	$338.84	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $302.00	Professional		$61.66	$100.00	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $524.81 / $891.25	Facility		$245.47	$524.81	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $112.20	Professional		$66.07	$97.72	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $144.54	Professional		$79.43	$104.71	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $128.82	Professional		$25.70	$33.11	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $131.83	Facility		$67.61	$91.20	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $147.91	Professional		$79.43	$109.65	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $151.36	Professional		$77.62	$112.20	$151.36