Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.76 / $185.53 / $371.04	Facility		$92.76	$185.53	$371.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $148.41 / $795.26	Professional		$92.76	$148.41	$795.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.63 / $819.28 / $1,330.21	Facility		$222.63	$819.28	$1,330.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.39 / $80.39 / $80.39	Facility		$80.39	$80.39	$80.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $110.70 / $156.06	Professional		$110.70	$110.70	$156.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.70 / $201.60 / $201.60	Professional		$191.70	$201.60	$201.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.39 / $170.00 / $192.39	Facility		$80.39	$170.00	$192.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $156.46 / $178.01	Professional		$142.22	$156.46	$178.01
United Facility/Professional Facility Modifier Low / Median / High Price $111.31 / $111.31 / $111.31	Facility		$111.31	$111.31	$111.31
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $70.87 / $74.20	Professional		$51.95	$70.87	$74.20