Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.88 / $5,000.27 / $7,838.38	Facility		$340.88	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.43 / $253.59 / $437.30	Professional		$153.43	$253.59	$437.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.02 / $2,667.74 / $4,247.71	Facility		$1,112.02	$2,667.74	$4,247.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.84 / $193.82 / $359.19	Professional		$116.84	$193.82	$359.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.91 / $272.91 / $1,651.99	Facility		$272.91	$272.91	$1,651.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $292.70 / $483.42	Professional		$176.54	$292.70	$483.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $85.82 / $452.03	Professional		$32.34	$85.82	$452.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $230.04 / $380.36	Facility		$143.75	$230.04	$380.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.22 / $344.45 / $664.06	Professional		$184.22	$344.45	$664.06
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.61 / $395.37 / $586.91	Professional		$280.61	$395.37	$586.91