Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.15 / $1,558.28 / $1,558.28	Facility		$76.15	$1,558.28	$1,558.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $475.00 / $700.00	Professional		$76.15	$475.00	$700.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.29 / $1,922.48 / $3,132.66	Facility		$524.29	$1,922.48	$3,132.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $154.50 / $154.50	Facility		$154.50	$154.50	$154.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $122.76 / $139.41	Professional		$78.86	$122.76	$139.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.58 / $129.66 / $595.00	Facility		$87.58	$129.66	$595.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $125.31 / $139.41	Professional		$78.86	$125.31	$139.41