Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.80 / $349.60 / $699.21	Facility		$174.80	$349.60	$699.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $279.68 / $1,498.64	Professional		$174.80	$279.68	$1,498.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.53 / $1,538.35 / $2,506.71	Facility		$419.53	$1,538.35	$2,506.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $190.65 / $219.09	Professional		$142.99	$190.65	$219.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.50 / $151.50 / $151.50	Facility		$151.50	$151.50	$151.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $208.68 / $271.17	Professional		$208.68	$208.68	$271.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $379.90 / $379.90	Professional		$361.26	$379.90	$379.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.50 / $334.52 / $746.78	Facility		$151.50	$334.52	$746.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $268.02 / $294.83 / $323.97	Professional		$268.02	$294.83	$323.97
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $123.22 / $139.84	Professional		$97.89	$123.22	$139.84