Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $1,047.00 / $7,838.38	Facility		$146.94	$1,047.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $134.16 / $270.39	Professional		$95.75	$134.16	$270.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.50 / $1,751.80 / $2,942.66	Facility		$492.50	$1,751.80	$2,942.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $165.45 / $269.06	Professional		$78.64	$165.45	$269.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $171.29 / $246.64	Professional		$112.66	$171.29	$246.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $235.09	Professional		$32.34	$32.34	$235.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $134.16 / $180.96	Facility		$93.54	$134.16	$180.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.94 / $184.64 / $288.29	Professional		$117.94	$184.64	$288.29
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $213.30 / $312.05	Professional		$161.94	$213.30	$312.05