Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.62 / $2,095.00 / $7,838.38	Facility		$133.62	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $207.77 / $207.77	Professional		$133.62	$207.77	$207.77
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $122.60 / $228.04	Professional		$92.30	$122.60	$228.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $137.72 / $201.97	Professional		$50.00	$137.72	$201.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.65 / $138.65 / $138.65	Facility		$138.65	$138.65	$138.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.12 / $185.33 / $228.04	Professional		$119.12	$185.33	$228.04
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 $75.30 / $152.26 / $223.09	Professional		$75.30	$152.26	$223.09