Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.09 / $376.18 / $752.34	Facility		$188.09	$376.18	$752.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.09 / $300.94 / $1,612.52	Professional		$188.09	$300.94	$1,612.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.63 / $1,310.63 / $2,247.62	Facility		$363.63	$1,310.63	$2,247.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $163.01 / $163.01	Facility		$163.01	$163.01	$163.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $360.34	Professional		$288.27	$288.27	$360.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $238.24 / $300.94	Facility		$132.91	$238.24	$300.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $250.78 / $274.45	Professional		$250.78	$250.78	$274.45
United Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $89.18 / $150.47	Professional		$89.18	$89.18	$150.47