Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $371.54 / $7,762.47	Facility		$120.23	$371.54	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $190.55 / $389.05	Professional		$74.13	$190.55	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,570.40 / $4,073.80	Facility		$1,047.13	$2,570.40	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $331.13	Professional		$102.33	$169.82	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $165.96 / $398.11	Professional		$77.62	$165.96	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $213.80 / $363.08	Facility		$79.43	$213.80	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $181.97 / $407.38	Professional		$89.13	$181.97	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,890.45	Facility		$416.87	$2,511.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $190.55 / $354.81	Professional		$89.13	$190.55	$354.81