Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,145.78 / $7,838.38	Facility		$1,000.00	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $96.28 / $240.57	Professional		$86.98	$96.28	$240.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,364.73 / $7,894.90 / $12,658.27	Facility		$2,364.73	$7,894.90	$12,658.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.49 / $113.93 / $168.78	Professional		$92.49	$113.93	$168.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.55 / $149.41 / $189.08	Professional		$114.55	$149.41	$189.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $32.34 / $145.49	Professional		$27.22	$32.34	$145.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $131.40 / $145.38	Facility		$103.24	$131.40	$145.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.55 / $149.41 / $189.08	Professional		$114.55	$149.41	$189.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $3,085.00 / $4,616.00	Facility		$3,085.00	$3,085.00	$4,616.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $146.49 / $224.37	Professional		$117.50	$146.49	$224.37