Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.72 / $1,000.00 / $7,838.38	Facility		$263.72	$1,000.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $129.08 / $294.47	Professional		$93.23	$129.08	$294.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.96 / $534.89 / $896.08	Facility		$222.96	$534.89	$896.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $142.43 / $238.83	Professional		$67.30	$142.43	$238.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.57 / $172.24 / $265.02	Professional		$109.57	$172.24	$265.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.88 / $275.06	Professional		$32.34	$104.88	$275.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $147.63 / $197.54	Facility		$99.83	$147.63	$197.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $181.84 / $313.48	Professional		$132.93	$181.84	$313.48
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 $147.60 / $219.03 / $314.57	Professional		$147.60	$219.03	$314.57