Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.60 / $399.76 / $7,838.38	Facility		$306.60	$399.76	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $270.37 / $711.76	Professional		$170.83	$270.37	$711.76
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 $134.15 / $249.20 / $421.41	Professional		$134.15	$249.20	$421.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.40 / $317.58 / $489.46	Professional		$213.40	$317.58	$489.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.96 / $461.44	Professional		$32.34	$92.96	$461.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.95 / $290.32 / $485.95	Facility		$168.95	$290.32	$485.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.95 / $364.78 / $528.87	Professional		$223.95	$364.78	$528.87
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 $294.70 / $424.83 / $555.11	Professional		$294.70	$424.83	$555.11