Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.00 / $1,102.00 / $7,838.38	Facility		$1,047.00	$1,102.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $144.81 / $247.31	Professional		$79.73	$144.81	$247.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,410.76 / $3,384.42 / $5,388.84	Facility		$1,410.76	$3,384.42	$5,388.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $149.86 / $287.95	Professional		$89.92	$149.86	$287.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $140.38 / $839.09	Facility		$140.38	$140.38	$839.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $168.83 / $294.08	Professional		$100.48	$168.83	$294.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.29 / $258.75	Professional		$32.34	$48.29	$258.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.09 / $175.52 / $257.67	Facility		$86.09	$175.52	$257.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $198.48 / $369.16	Professional		$100.83	$198.48	$369.16
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 $175.93 / $247.50 / $354.79	Professional		$175.93	$247.50	$354.79