Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.64 / $466.64 / $579.12	Facility		$466.64	$466.64	$579.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.52 / $104.54 / $215.04	Professional		$87.52	$104.54	$215.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.33 / $1,227.58 / $2,105.19	Facility		$352.33	$1,227.58	$2,105.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $128.09 / $147.19	Professional		$96.07	$128.09	$147.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $101.78 / $101.78	Facility		$101.78	$101.78	$101.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $163.50 / $204.38	Professional		$82.33	$163.50	$204.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $234.89 / $234.89	Professional		$86.12	$234.89	$234.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $101.78 / $122.99	Facility		$101.78	$101.78	$122.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $100.85 / $156.59	Professional		$82.33	$100.85	$156.59
United Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $93.95	Professional		$51.66	$51.66	$93.95