Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.24 / $288.48 / $576.96	Facility		$144.24	$288.48	$576.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.24 / $230.78 / $1,236.61	Professional		$144.24	$230.78	$1,236.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.48 / $1,026.11 / $1,723.67	Facility		$288.48	$1,026.11	$1,723.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.01 / $125.01 / $125.01	Facility		$125.01	$125.01	$125.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $218.33	Professional		$172.40	$172.40	$218.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $298.10 / $313.48 / $313.48	Professional		$298.10	$313.48	$313.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.01 / $159.63 / $242.32	Facility		$125.01	$159.63	$242.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $232.71 / $267.32	Professional		$172.40	$232.71	$267.32
United Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $80.77 / $115.39	Professional		$75.48	$80.77	$115.39