Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $134.90 / $7,762.47	Facility		$91.20	$134.90	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $177.83	Professional		$75.86	$100.00	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $120.23	Professional		$57.54	$100.00	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $154.88	Professional		$67.61	$120.23	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $120.23	Professional		$23.99	$33.11	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $97.72 / $144.54	Facility		$67.61	$97.72	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $154.88	Professional		$69.18	$109.65	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,096.48 / $1,412.54	Facility		$199.53	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $144.54	Professional		$79.43	$109.65	$144.54