Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $125.84 / $125.84	Facility		$79.50	$125.84	$125.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $100.20 / $128.85	Professional		$74.56	$100.20	$128.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $451.51	Facility		$58.84	$58.84	$451.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $68.58 / $100.47	Professional		$58.84	$68.58	$100.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $125.19 / $188.41	Professional		$96.09	$125.19	$188.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $137.26	Professional		$32.34	$32.34	$137.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $93.50 / $146.44	Facility		$65.00	$93.50	$146.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.33 / $125.19 / $180.25	Professional		$104.33	$125.19	$180.25
United Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $105.14 / $105.14	Facility		$105.14	$105.14	$105.14
United Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $125.99 / $188.41	Professional		$89.11	$125.99	$188.41