Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $331.13 / $7,762.47	Facility		$125.89	$331.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $436.52	Professional		$91.20	$208.93	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $218.78 / $446.68	Professional		$102.33	$218.78	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $457.09	Professional		$123.03	$223.87	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $323.59 / $467.74	Facility		$154.88	$323.59	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $389.05	Professional		$123.03	$208.93	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $13,803.84	Facility		$416.87	$2,511.89	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $436.52	Professional		$138.04	$218.78	$436.52