Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.25 / $418.50 / $837.00	Facility		$209.25	$418.50	$837.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $334.80 / $1,793.97	Professional		$209.25	$334.80	$1,793.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $1,299.47 / $2,427.71	Facility		$279.00	$1,299.47	$2,427.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $228.22 / $279.00	Professional		$171.17	$228.22	$279.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.35 / $181.35 / $181.35	Facility		$181.35	$181.35	$181.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.92 / $249.92 / $316.63	Professional		$249.92	$249.92	$316.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $432.45 / $454.77 / $454.77	Professional		$432.45	$454.77	$454.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $181.35 / $351.54	Facility		$140.13	$181.35	$351.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.92 / $337.59 / $387.81	Professional		$249.92	$337.59	$387.81
United Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $62.39 / $167.40	Professional		$55.73	$62.39	$167.40