Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.43 / $5,000.27 / $19,126.40	Facility		$311.43	$5,000.27	$19,126.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $294.49 / $1,228.40	Professional		$212.77	$294.49	$1,228.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,769.16 / $6,126.13 / $9,506.29	Facility		$1,769.16	$6,126.13	$9,506.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $300.63 / $441.81	Professional		$133.61	$300.63	$441.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.35 / $350.04 / $510.64	Professional		$246.35	$350.04	$510.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $272.36 / $487.48	Professional		$32.34	$272.36	$487.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.29 / $306.11 / $485.39	Facility		$186.29	$306.11	$485.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.51 / $405.99 / $569.13	Professional		$262.51	$405.99	$569.13
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,503.00 / $5,060.00	Facility		$559.00	$3,503.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.80 / $460.92 / $589.54	Professional		$303.80	$460.92	$589.54