Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,534.19 / $2,055.23 / $2,055.23	Professional		$1,534.19	$2,055.23	$2,055.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.05 / $264.07 / $314.64	Professional		$198.05	$264.07	$314.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $1,440.00	Facility		$1,440.00	$1,440.00	$1,440.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.64 / $1,440.00 / $1,440.00	Professional		$233.64	$1,440.00	$1,440.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.79 / $726.37 / $3,805.36	Professional		$192.79	$726.37	$3,805.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $905.03 / $1,608.94 / $2,547.34	Facility		$905.03	$1,608.94	$2,547.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.64 / $1,440.00 / $1,440.00	Professional		$233.64	$1,440.00	$1,440.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,188.14 / $1,391.26 / $2,111.73	Professional		$1,188.14	$1,391.26	$2,111.73