Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.31 / $5,000.27 / $7,838.38	Facility		$380.31	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $302.10 / $601.30	Professional		$203.66	$302.10	$601.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $503.87 / $818.10	Facility		$136.91	$503.87	$818.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $265.76 / $509.78	Professional		$159.46	$265.76	$509.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.75 / $388.24 / $611.77	Professional		$236.75	$388.24	$611.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $107.17 / $569.85	Professional		$32.34	$107.17	$569.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.46 / $316.35 / $593.11	Facility		$208.46	$316.35	$593.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.89 / $416.63 / $678.93	Professional		$256.89	$416.63	$678.93
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 $372.81 / $525.28 / $696.80	Professional		$372.81	$525.28	$696.80