Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.48 / $1,613.55 / $1,613.55	Professional		$1,204.48	$1,613.55	$1,613.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $207.32 / $247.03	Professional		$155.49	$207.32	$247.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,436.52 / $1,436.52 / $1,436.52	Facility		$1,436.52	$1,436.52	$1,436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $183.43 / $1,436.52	Professional		$183.43	$183.43	$1,436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $389.29 / $2,583.64	Professional		$151.36	$389.29	$2,583.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.47 / $1,272.66 / $1,999.89	Facility		$710.47	$1,272.66	$1,999.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $701.00 / $1,436.52	Professional		$183.43	$701.00	$1,436.52
United Facility/Professional Professional Modifier Low / Median / High Price $932.71 / $1,092.43 / $1,657.76	Professional		$932.71	$1,092.43	$1,657.76