Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,095.00 / $9,388.66 / $9,388.66	Facility		$2,095.00	$9,388.66	$9,388.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $197.29 / $849.00	Professional		$180.74	$197.29	$849.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.14 / $18,250.21 / $29,738.47	Facility		$4,977.14	$18,250.21	$29,738.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.24 / $260.35 / $395.55	Professional		$199.24	$260.35	$395.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.52 / $316.20 / $401.89	Professional		$211.52	$316.20	$401.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $335.19	Professional		$32.34	$32.34	$335.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.49 / $271.42 / $1,190.00	Facility		$200.49	$271.42	$1,190.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.88 / $333.06 / $515.42	Professional		$214.88	$333.06	$515.42
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.07 / $306.70 / $431.40	Professional		$239.07	$306.70	$431.40