Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $524.81 / $7,762.47	Facility		$426.58	$524.81	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $549.54	Professional		$234.42	$281.84	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $616.60 / $1,000.00	Facility		$281.84	$616.60	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $489.78	Professional		$251.19	$363.08	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $1,047.13	Professional		$223.87	$380.19	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $338.84 / $537.03	Facility		$239.88	$338.84	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $630.96	Professional		$257.04	$398.11	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $537.03	Professional		$269.15	$380.19	$537.03