Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.88 / $2,145.78 / $7,838.38	Facility		$91.88	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $114.81 / $437.69	Professional		$76.03	$114.81	$437.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $84.95 / $121.42	Professional		$34.21	$84.95	$121.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $875.00	Facility		$875.00	$875.00	$875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $119.72 / $155.79	Professional		$67.18	$119.72	$155.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $72.40 / $162.90	Professional		$24.13	$72.40	$162.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.59 / $81.39 / $145.61	Facility		$52.59	$81.39	$145.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $122.09 / $154.09	Professional		$69.77	$122.09	$154.09
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 $90.88 / $113.85 / $161.38	Professional		$90.88	$113.85	$161.38