Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,548.82 / $1,548.82	Facility		$870.96	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $602.56	Professional		$251.19	$316.23	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,905.46 / $3,162.28	Facility		$870.96	$1,905.46	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $331.13 / $707.95	Facility		$251.19	$331.13	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,047.13 / $1,047.13	Facility		$467.74	$1,047.13	$1,047.13