Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.72 / $2,095.00 / $7,838.38	Facility		$109.72	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $126.56 / $191.85	Professional		$75.50	$126.56	$191.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.97 / $1,206.25 / $1,965.57	Facility		$328.97	$1,206.25	$1,965.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $131.68 / $210.34	Professional		$79.01	$131.68	$210.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $136.90 / $243.50	Professional		$88.03	$136.90	$243.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $129.66 / $229.94	Professional		$25.93	$129.66	$229.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $120.17 / $272.60	Facility		$62.65	$120.17	$272.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $161.04 / $262.83	Professional		$90.79	$161.04	$262.83
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,503.00 / $5,060.00	Facility		$559.00	$3,503.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.30 / $233.20 / $318.36	Professional		$170.30	$233.20	$318.36