Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.50 / $450.50 / $450.50	Facility		$450.50	$450.50	$450.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.50 / $581.28 / $581.28	Professional		$450.50	$581.28	$581.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $59.93 / $89.19	Professional		$44.95	$59.93	$89.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $568.02	Facility		$568.02	$568.02	$568.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $568.02 / $568.02	Professional		$59.58	$568.02	$568.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $140.04 / $1,400.64	Professional		$74.68	$140.04	$1,400.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.79 / $561.00 / $756.50	Facility		$523.79	$561.00	$756.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $568.02 / $568.02	Professional		$59.58	$568.02	$568.02
United Facility/Professional Professional Modifier Low / Median / High Price $508.83 / $555.08 / $995.08	Professional		$508.83	$555.08	$995.08