Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $450.00 / $900.00	Facility		$225.00	$450.00	$900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $360.00 / $1,929.00	Professional		$225.00	$360.00	$1,929.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,600.65 / $2,688.75	Facility		$450.00	$1,600.65	$2,688.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $195.00 / $195.00	Facility		$195.00	$195.00	$195.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.83 / $399.62 / $549.59	Professional		$268.83	$399.62	$549.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $465.00 / $489.00 / $489.00	Professional		$465.00	$489.00	$489.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $329.51 / $378.00	Facility		$195.00	$329.51	$378.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.39 / $370.02 / $473.63	Professional		$340.39	$370.02	$473.63
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $138.38 / $180.00	Professional		$126.00	$138.38	$180.00