Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $295.12 / $7,762.47	Facility		$281.84	$295.12	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $457.09	Professional		$173.78	$213.80	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $8,511.38 / $13,803.84	Facility		$1,348.96	$8,511.38	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,659.59	Facility		$338.84	$338.84	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $363.08	Professional		$204.17	$263.03	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $416.87	Facility		$186.21	$251.19	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $446.68	Professional		$204.17	$275.42	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,025.60 / $14,454.40	Facility		$645.65	$6,025.60	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $389.05	Professional		$194.98	$263.03	$389.05