Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.27 / $2,095.00 / $7,838.38	Facility		$460.27	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.06 / $460.27 / $759.16	Professional		$403.06	$460.27	$759.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,524.05 / $8,740.11 / $13,562.56	Facility		$2,524.05	$8,740.11	$13,562.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.57 / $524.41 / $862.67	Professional		$433.57	$524.41	$862.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.07 / $641.85 / $869.34	Professional		$403.07	$641.85	$869.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $671.10	Professional		$32.34	$32.34	$671.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.69 / $547.55 / $715.73	Facility		$306.69	$547.55	$715.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.24 / $684.36 / $1,103.90	Professional		$456.24	$684.36	$1,103.90
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $6,599.00 / $8,422.00	Facility		$639.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.36 / $684.75 / $1,126.55	Professional		$514.36	$684.75	$1,126.55