Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $257.04 / $7,762.47	Facility		$138.04	$257.04	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $269.15	Professional		$91.20	$151.36	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $4,570.88	Facility		$1,258.93	$2,818.38	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $208.93	Professional		$120.23	$154.88	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $380.19	Professional		$104.71	$173.78	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $162.18 / $275.42	Facility		$95.50	$162.18	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $316.23	Professional		$112.20	$181.97	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,090.30	Facility		$416.87	$2,511.89	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $295.12	Professional		$125.89	$194.98	$295.12