Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.06 / $436.24 / $798.00	Facility		$248.06	$436.24	$798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $153.94 / $824.91	Professional		$96.22	$153.94	$824.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $104.94 / $120.59	Professional		$78.70	$104.94	$120.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $83.39 / $83.39	Facility		$83.39	$83.39	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $211.97 / $291.52	Professional		$115.04	$211.97	$291.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $209.11 / $209.11	Professional		$198.85	$209.11	$209.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $174.58 / $199.56	Facility		$83.39	$174.58	$199.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $169.98 / $251.23	Professional		$147.53	$169.98	$251.23
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $73.31 / $76.97	Professional		$53.88	$73.31	$76.97