Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.78 / $344.28 / $7,838.38	Facility		$164.78	$344.28	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $153.31 / $273.05	Professional		$119.32	$153.31	$273.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.57 / $1,168.13 / $1,764.93	Facility		$318.57	$1,168.13	$1,764.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $150.30 / $234.15	Professional		$88.55	$150.30	$234.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.15 / $197.93 / $270.54	Professional		$137.15	$197.93	$270.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $143.06 / $255.32	Professional		$28.61	$143.06	$255.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.53 / $175.26 / $250.69	Facility		$119.53	$175.26	$250.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $215.01 / $323.91	Professional		$151.74	$215.01	$323.91
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 $181.89 / $244.44 / $323.70	Professional		$181.89	$244.44	$323.70