Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $596.60 / $753.16	Facility		$12.16	$596.60	$753.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $231.71 / $554.89	Professional		$182.45	$231.71	$554.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.86 / $1,027.31 / $1,761.76	Facility		$294.86	$1,027.31	$1,761.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.26 / $190.26 / $311.70	Professional		$190.26	$190.26	$311.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Facility		$182.45	$182.45	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.20 / $200.20 / $200.20	Professional		$200.20	$200.20	$200.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $84.81 / $182.45	Facility		$40.29	$84.81	$182.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45