Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.28 / $2,145.78 / $7,838.38	Facility		$80.28	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $75.28 / $92.13	Professional		$40.78	$75.28	$92.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $383.64 / $642.69	Facility		$159.91	$383.64	$642.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $64.48 / $127.00	Professional		$38.69	$64.48	$127.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $82.80 / $130.90	Professional		$55.16	$82.80	$130.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $63.90 / $113.24	Professional		$21.30	$63.90	$113.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.63 / $80.54 / $115.80	Facility		$41.63	$80.54	$115.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $82.80 / $130.90	Professional		$50.49	$82.80	$130.90
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.47 / $115.14 / $163.54	Professional		$94.47	$115.14	$163.54