Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $2,095.00 / $7,838.38	Facility		$66.31	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $100.89 / $346.00	Professional		$66.31	$100.89	$346.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.36 / $1,558.66 / $2,672.98	Facility		$447.36	$1,558.66	$2,672.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $87.16 / $130.13	Professional		$33.10	$87.16	$130.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $110.74 / $142.19	Professional		$61.06	$110.74	$142.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $65.79 / $148.02	Professional		$21.93	$65.79	$148.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.34 / $80.28 / $117.03	Facility		$48.34	$80.28	$117.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $111.40 / $138.69	Professional		$62.53	$111.40	$138.69
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 $89.02 / $114.65 / $145.68	Professional		$89.02	$114.65	$145.68