Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $900.00 / $1,800.00	Facility		$450.00	$900.00	$1,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $720.00 / $3,858.00	Professional		$450.00	$720.00	$3,858.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,772.40 / $6,453.00	Facility		$1,080.00	$3,772.40	$6,453.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.10 / $490.80 / $564.00	Professional		$368.10	$490.80	$564.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $390.00	Facility		$390.00	$390.00	$390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.66 / $537.66 / $681.19	Professional		$537.66	$537.66	$681.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $978.00 / $978.00	Professional		$930.00	$978.00	$978.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $605.24 / $756.00	Facility		$390.00	$605.24	$756.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $633.74 / $726.00 / $834.00	Professional		$633.74	$726.00	$834.00
United Facility/Professional Facility Modifier Low / Median / High Price $360.42 / $539.82 / $900.00	Facility		$360.42	$539.82	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.29 / $360.00	Professional		$252.00	$252.29	$360.00