Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,000.27 / $7,838.38	Facility		$1,000.00	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $170.21 / $302.70	Professional		$169.28	$170.21	$302.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.78 / $219.78 / $219.78	Professional		$219.78	$219.78	$219.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.80 / $250.18 / $327.42	Professional		$191.80	$250.18	$327.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.51 / $282.27	Professional		$32.34	$52.51	$282.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.28 / $217.99 / $247.20	Facility		$171.28	$217.99	$247.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.80 / $250.18 / $327.42	Professional		$191.80	$250.18	$327.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.65 / $260.52 / $398.17	Professional		$196.65	$260.52	$398.17