Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.98 / $5,000.27 / $7,838.38	Facility		$178.98	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $134.85 / $215.38	Professional		$120.52	$134.85	$215.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,026.76 / $6,766.52 / $10,849.08	Facility		$2,026.76	$6,766.52	$10,849.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $200.78 / $252.20	Professional		$153.93	$200.78	$252.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.93 / $204.11	Professional		$32.34	$37.93	$204.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.96 / $184.49 / $200.44	Facility		$144.96	$184.49	$200.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $200.78 / $252.20	Professional		$153.93	$200.78	$252.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.80 / $206.96 / $308.61	Professional		$154.80	$206.96	$308.61