Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,250.80 / $1,675.60 / $1,675.60	Professional		$1,250.80	$1,675.60	$1,675.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $215.30 / $256.52	Professional		$161.47	$215.30	$256.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $1,208.78	Facility		$1,208.78	$1,208.78	$1,208.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $1,208.78 / $1,208.78	Professional		$190.49	$1,208.78	$1,208.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $592.20 / $3,102.32	Professional		$157.19	$592.20	$3,102.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $1,311.69 / $2,076.80	Facility		$737.82	$1,311.69	$2,076.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $1,208.78 / $1,208.78	Professional		$190.49	$1,208.78	$1,208.78
United Facility/Professional Professional Modifier Low / Median / High Price $968.63 / $1,134.22 / $1,721.59	Professional		$968.63	$1,134.22	$1,721.59