Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $147.80 / $278.77	Professional		$130.00	$147.80	$278.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.60 / $443.47 / $638.82	Professional		$332.60	$443.47	$638.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $215.87 / $273.47	Professional		$165.50	$215.87	$273.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $187.89 / $214.80	Facility		$140.69	$187.89	$214.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $215.87 / $273.47	Professional		$165.50	$215.87	$273.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,761.00	Facility		$1,824.00	$2,516.00	$2,761.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.25 / $205.94 / $313.00	Professional		$153.25	$205.94	$313.00