Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.25 / $1,930.50 / $3,861.00	Facility		$965.25	$1,930.50	$3,861.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.25 / $1,544.40 / $8,275.41	Professional		$965.25	$1,544.40	$8,275.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $6,684.81 / $11,534.74	Facility		$1,287.00	$6,684.81	$11,534.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $1,052.77 / $1,287.00	Professional		$2.14	$1,052.77	$1,287.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.55 / $836.55 / $836.55	Facility		$836.55	$836.55	$836.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.16 / $1,478.95 / $1,848.69	Professional		$1,153.16	$1,478.95	$1,848.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.85 / $1,994.85 / $2,097.81	Professional		$707.85	$1,994.85	$2,097.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.20 / $1,222.65 / $1,544.40	Facility		$772.20	$1,222.65	$1,544.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,055.33 / $1,480.05 / $1,788.93	Professional		$1,055.33	$1,480.05	$1,788.93
United Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $540.54 / $772.20	Professional		$540.54	$540.54	$772.20