Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $288.40 / $302.00	Facility		$109.65	$288.40	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $602.56	Professional		$61.66	$87.10	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $630.96 / $977.24	Facility		$275.42	$630.96	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $87.10	Professional		$56.23	$74.13	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Professional		$81.28	$81.28	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $234.42	Professional		$141.25	$141.25	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $123.03 / $269.15	Facility		$60.26	$123.03	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $131.83	Professional		$81.28	$120.23	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $54.95	Professional		$38.90	$52.48	$54.95