Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.13 / $123.13 / $7,838.38	Facility		$123.13	$123.13	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $45.74 / $155.08	Professional		$34.28	$45.74	$155.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.22 / $526.85 / $903.51	Facility		$151.22	$526.85	$903.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $34.70 / $54.62	Professional		$29.00	$34.70	$54.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $60.35 / $91.88	Professional		$27.94	$60.35	$91.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $32.34 / $68.31	Professional		$10.11	$32.34	$68.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $52.81 / $74.33	Facility		$33.96	$52.81	$74.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $62.98 / $91.88	Professional		$34.83	$62.98	$91.88
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,084.00 / $1,401.00	Facility		$200.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $67.56 / $93.96	Professional		$51.93	$67.56	$93.96