Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.61 / $5,000.27 / $7,838.38	Facility		$111.61	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $109.89 / $183.63	Professional		$54.44	$109.89	$183.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $115.71 / $238.81	Professional		$66.84	$115.71	$238.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $106.55 / $199.44	Professional		$64.56	$106.55	$199.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $156.12	Professional		$32.34	$32.34	$156.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $95.12 / $142.41	Facility		$45.51	$95.12	$142.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $126.25 / $218.36	Professional		$70.02	$126.25	$218.36
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 $136.75 / $183.56 / $256.76	Professional		$136.75	$183.56	$256.76