Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.05 / $2,145.78 / $7,838.38	Facility		$166.05	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $150.62 / $270.25	Professional		$110.64	$150.62	$270.25
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 $138.47 / $138.47 / $201.19	Professional		$138.47	$138.47	$201.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $205.97 / $274.08	Professional		$137.19	$205.97	$274.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.88 / $256.11	Professional		$32.34	$104.88	$256.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $156.86 / $221.36	Facility		$123.25	$156.86	$221.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.31 / $205.97 / $287.58	Professional		$137.31	$205.97	$287.58
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 $170.66 / $228.50 / $347.60	Professional		$170.66	$228.50	$347.60