Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.38 / $1,014.75 / $2,029.50	Facility		$507.38	$1,014.75	$2,029.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.38 / $811.80 / $4,349.89	Professional		$507.38	$811.80	$4,349.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,217.70 / $4,465.06 / $7,275.76	Facility		$1,217.70	$4,465.06	$7,275.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.04 / $553.38 / $635.91	Professional		$415.04	$553.38	$635.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.73 / $439.73 / $439.73	Facility		$439.73	$439.73	$439.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.19 / $606.19 / $768.03	Professional		$606.19	$606.19	$768.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,048.58 / $1,102.70 / $1,102.70	Professional		$1,048.58	$1,102.70	$1,102.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.73 / $642.58 / $890.85	Facility		$439.73	$642.58	$890.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $777.98 / $824.26 / $940.34	Professional		$777.98	$824.26	$940.34
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $328.14 / $405.90	Professional		$284.13	$328.14	$405.90