Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $141.25 / $7,762.47	Facility		$79.43	$141.25	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $229.09	Professional		$52.48	$85.11	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $112.20	Professional		$70.79	$81.28	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $162.18	Professional		$70.79	$104.71	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $112.20 / $194.98	Facility		$72.44	$112.20	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $162.18	Professional		$70.79	$102.33	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $154.88	Professional		$70.79	$104.71	$154.88