Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.68 / $630.89 / $7,838.38	Facility		$113.68	$630.89	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $113.68 / $270.83	Professional		$83.68	$113.68	$270.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.70 / $707.02 / $1,184.45	Facility		$294.70	$707.02	$1,184.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $130.63 / $195.87	Professional		$70.63	$130.63	$195.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $149.30 / $198.97	Professional		$102.06	$149.30	$198.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $98.56 / $177.43	Professional		$32.34	$98.56	$177.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.18 / $114.50 / $171.26	Facility		$82.18	$114.50	$171.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $149.30 / $198.97	Professional		$102.06	$149.30	$198.97
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 $134.59 / $172.15 / $248.84	Professional		$134.59	$172.15	$248.84