Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $254.85 / $509.70	Facility		$127.43	$254.85	$509.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $203.88 / $1,092.46	Professional		$127.43	$203.88	$1,092.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.83 / $1,065.57 / $1,827.36	Facility		$305.83	$1,065.57	$1,827.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.44 / $110.44 / $110.44	Facility		$110.44	$110.44	$110.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $152.25 / $192.93	Professional		$152.25	$152.25	$192.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.35 / $276.94 / $276.94	Professional		$263.35	$276.94	$276.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.44 / $130.00 / $214.07	Facility		$110.44	$130.00	$214.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $205.58 / $236.16	Professional		$152.25	$205.58	$236.16
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $54.19 / $101.94	Professional		$54.19	$54.19	$101.94