Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.13 / $494.26 / $988.53	Facility		$247.13	$494.26	$988.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.13 / $395.41 / $2,118.75	Professional		$247.13	$395.41	$2,118.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.26 / $1,758.10 / $2,953.23	Facility		$494.26	$1,758.10	$2,953.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.18 / $214.18 / $214.18	Facility		$214.18	$214.18	$214.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.19 / $399.62 / $549.59	Professional		$295.19	$399.62	$549.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $510.74 / $537.10 / $537.10	Professional		$510.74	$537.10	$537.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.18 / $329.51 / $415.18	Facility		$214.18	$329.51	$415.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.42 / $398.71 / $474.49	Professional		$340.42	$398.71	$474.49
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $197.71	Professional		$138.38	$138.38	$197.71