Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.19 / $5,000.27 / $7,838.38	Facility		$227.19	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $205.38 / $388.74	Professional		$123.23	$205.38	$388.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.90 / $208.81 / $324.52	Professional		$106.90	$208.81	$324.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.09 / $238.88 / $388.82	Professional		$161.09	$238.88	$388.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $175.58 / $307.30	Professional		$32.34	$175.58	$307.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $189.37 / $286.63	Facility		$123.00	$189.37	$286.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.53 / $238.88 / $388.82	Professional		$151.53	$238.88	$388.82
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 $235.98 / $314.36 / $472.22	Professional		$235.98	$314.36	$472.22