Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $2,095.00 / $7,838.38	Facility		$74.73	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $92.78 / $92.78	Professional		$74.73	$92.78	$92.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $54.00 / $102.27	Professional		$40.50	$54.00	$102.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $104.24 / $128.69	Professional		$64.48	$104.24	$128.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.30 / $99.54 / $130.51	Facility		$58.30	$99.54	$130.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $111.69 / $139.16	Professional		$64.48	$111.69	$139.16
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 $83.85 / $110.66 / $141.04	Professional		$83.85	$110.66	$141.04