Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.03 / $2,145.78 / $7,838.38	Facility		$133.03	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $123.92 / $447.00	Professional		$94.25	$123.92	$447.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $150.01 / $213.70	Professional		$82.57	$150.01	$213.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $175.63 / $222.52	Professional		$117.38	$175.63	$222.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.22 / $191.75	Professional		$32.34	$75.22	$191.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $143.59 / $200.01	Facility		$106.52	$143.59	$200.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $175.63 / $230.43	Professional		$122.48	$175.63	$230.43
United Facility/Professional Facility Modifier Low / Median / High Price $480.04 / $1,327.00 / $1,327.00	Facility		$480.04	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $200.20 / $280.45	Professional		$163.80	$200.20	$280.45