Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.63 / $2,145.78 / $7,838.38	Facility		$66.63	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $68.53 / $113.66	Professional		$55.28	$68.53	$113.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.94 / $1,057.83 / $1,684.33	Facility		$440.94	$1,057.83	$1,684.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $77.64 / $114.21	Professional		$39.61	$77.64	$114.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $100.84 / $130.91	Professional		$70.81	$100.84	$130.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.83 / $59.51 / $108.05	Professional		$19.83	$59.51	$108.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.64 / $89.98 / $117.41	Facility		$68.64	$89.98	$117.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $100.84 / $130.91	Professional		$70.81	$100.84	$130.91
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 / $108.90 / $158.80	Professional		$94.47	$108.90	$158.80