Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.60 / $1,000.00 / $7,838.38	Facility		$88.60	$1,000.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $68.81 / $145.37	Professional		$52.78	$68.81	$145.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.88 / $967.60 / $1,576.68	Facility		$263.88	$967.60	$1,576.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $95.56 / $148.72	Professional		$43.68	$95.56	$148.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $98.18 / $149.50	Professional		$63.38	$98.18	$149.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $124.72	Professional		$32.34	$32.34	$124.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.72 / $79.98 / $105.60	Facility		$59.72	$79.98	$105.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $107.44 / $174.44	Professional		$70.38	$107.44	$174.44
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 $95.89 / $119.07 / $177.75	Professional		$95.89	$119.07	$177.75