Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.20 / $2,145.78 / $7,838.38	Facility		$96.20	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $85.31 / $305.83	Professional		$57.81	$85.31	$305.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $497.43 / $1,193.33 / $1,999.17	Facility		$497.43	$1,193.33	$1,999.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $89.86 / $142.83	Professional		$45.75	$89.86	$142.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $107.83 / $172.01	Professional		$72.66	$107.83	$172.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $82.25 / $145.10	Professional		$27.41	$82.25	$145.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.33 / $90.26 / $124.84	Facility		$66.33	$90.26	$124.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $114.51 / $172.01	Professional		$72.66	$114.51	$172.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $130.00 / $195.14	Professional		$99.00	$130.00	$195.14