Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.73 / $2,145.78 / $7,838.38	Facility		$90.73	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $88.45 / $176.94	Professional		$65.62	$88.45	$176.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.53 / $688.24 / $1,180.27	Facility		$197.53	$688.24	$1,180.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $98.59 / $133.10	Professional		$64.89	$98.59	$133.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $100.02 / $151.97	Professional		$60.03	$100.02	$151.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $79.88 / $142.90	Professional		$15.97	$79.88	$142.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $105.87 / $146.81	Facility		$71.38	$105.87	$146.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $116.51 / $180.54	Professional		$71.09	$116.51	$180.54
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 $110.44 / $149.44 / $182.40	Professional		$110.44	$149.44	$182.40