Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $831.76	Professional		$436.52	$537.03	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $89.13	Professional		$44.67	$60.26	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $549.54 / $549.54	Professional		$60.26	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $1,778.28	Professional		$54.95	$112.20	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $549.54 / $1,047.13	Facility		$501.19	$549.54	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $467.74 / $549.54	Professional		$60.26	$467.74	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $389.05 / $776.25	Facility		$53.70	$389.05	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $524.81 / $1,000.00	Professional		$489.78	$524.81	$1,000.00