Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,257.43 / $1,751.71 / $1,751.71	Professional		$1,257.43	$1,751.71	$1,751.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.80 / $225.07 / $268.18	Professional		$168.80	$225.07	$268.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.26 / $1,414.26 / $1,414.26	Facility		$1,414.26	$1,414.26	$1,414.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.14 / $1,414.26 / $1,414.26	Professional		$199.14	$1,414.26	$1,414.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.33 / $422.62 / $3,577.74	Professional		$164.33	$422.62	$3,577.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $771.39 / $1,376.05 / $2,087.80	Facility		$771.39	$1,376.05	$2,087.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.14 / $1,414.26 / $1,414.26	Professional		$199.14	$1,414.26	$1,414.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,194.83 / $1,409.01 / $2,295.60	Professional		$1,194.83	$1,409.01	$2,295.60