Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.17 / $202.17 / $202.17	Facility		$202.17	$202.17	$202.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.18 / $202.17 / $876.00	Professional		$176.18	$202.17	$876.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.08 / $275.27 / $392.16	Professional		$191.08	$275.27	$392.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.98 / $326.06 / $409.31	Professional		$249.98	$326.06	$409.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.77 / $353.24	Professional		$32.34	$65.77	$353.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.23 / $249.98 / $283.98	Facility		$246.23	$249.98	$283.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.98 / $334.33 / $409.31	Professional		$249.98	$334.33	$409.31
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 $254.84 / $334.36 / $506.40	Professional		$254.84	$334.36	$506.40