Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.16 / $235.16 / $235.16	Facility		$235.16	$235.16	$235.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $180.86 / $368.79	Professional		$164.41	$180.86	$368.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.44 / $676.30 / $1,102.03	Facility		$184.44	$676.30	$1,102.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.41 / $193.89 / $193.89	Professional		$145.41	$193.89	$193.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Facility		$219.62	$219.62	$219.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Professional		$219.62	$219.62	$219.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $125.23 / $125.23	Professional		$125.23	$125.23	$125.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $152.69 / $219.62	Facility		$109.78	$152.69	$219.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Professional		$219.62	$219.62	$219.62
United Facility/Professional Professional Modifier Low / Median / High Price $185.79 / $235.16 / $235.16	Professional		$185.79	$235.16	$235.16