Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.00 / $599.25 / $7,838.38	Facility		$399.00	$599.25	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.56 / $282.99 / $769.05	Professional		$183.56	$282.99	$769.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $502.06 / $818.10	Facility		$136.91	$502.06	$818.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.55 / $245.16 / $449.78	Professional		$138.55	$245.16	$449.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.21 / $336.45 / $529.11	Professional		$220.21	$336.45	$529.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.54 / $498.10	Professional		$32.34	$93.54	$498.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.66 / $299.82 / $523.40	Facility		$178.66	$299.82	$523.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.05 / $376.37 / $572.79	Professional		$234.05	$376.37	$572.79
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 $306.54 / $460.12 / $600.60	Professional		$306.54	$460.12	$600.60