Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.60 / $273.60 / $7,838.38	Facility		$273.60	$273.60	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $108.75 / $244.10	Professional		$75.34	$108.75	$244.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.59 / $614.54 / $1,001.38	Facility		$167.59	$614.54	$1,001.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $113.81 / $173.26	Professional		$68.29	$113.81	$173.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $142.44 / $222.89	Professional		$95.39	$142.44	$222.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $32.34 / $147.74	Professional		$29.54	$32.34	$147.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.27 / $111.15 / $169.01	Facility		$72.27	$111.15	$169.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $150.19 / $232.88	Professional		$97.91	$150.19	$232.88
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 $106.31 / $166.50 / $328.32	Professional		$106.31	$166.50	$328.32