Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.28 / $116.28 / $148.55	Facility		$116.28	$116.28	$148.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $133.24 / $238.54	Professional		$101.49	$133.24	$238.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.55 / $390.68 / $636.61	Facility		$106.55	$390.68	$636.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $150.31 / $233.91	Professional		$80.59	$150.31	$233.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $182.31 / $256.56	Professional		$119.91	$182.31	$256.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.77 / $224.14	Professional		$32.34	$38.77	$224.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $144.93 / $208.03	Facility		$61.23	$144.93	$208.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $195.34 / $295.23	Professional		$131.03	$195.34	$295.23
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,327.00	Facility		$230.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $213.20 / $341.28	Professional		$159.72	$213.20	$341.28