Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $199.53 / $7,762.47	Facility		$61.66	$199.53	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $144.54 / $331.13	Professional		$58.88	$144.54	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $562.34 / $891.25	Facility		$245.47	$562.34	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $204.17	Professional		$75.86	$131.83	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $269.15	Professional		$69.18	$138.04	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $100.00 / $213.80	Professional		$32.36	$100.00	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $151.36 / $234.42	Facility		$61.66	$151.36	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $269.15	Professional		$69.18	$138.04	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $870.96 / $870.96	Facility		$398.11	$870.96	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $281.84	Professional		$79.43	$138.04	$281.84