Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.04 / $1,018.40 / $1,018.40	Facility		$98.04	$1,018.40	$1,018.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $78.43 / $420.27	Professional		$49.02	$78.43	$420.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.65 / $432.93 / $702.93	Facility		$117.65	$432.93	$702.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $53.46 / $61.44	Professional		$40.10	$53.46	$61.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Facility		$42.48	$42.48	$42.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $82.33	Professional		$58.60	$58.60	$82.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.31 / $106.54 / $106.54	Professional		$101.31	$106.54	$106.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $70.20 / $101.67	Facility		$42.48	$70.20	$101.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $82.68 / $94.07	Professional		$75.16	$82.68	$94.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $37.45 / $39.22	Professional		$27.45	$37.45	$39.22