Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $190.55	Facility		$70.79	$102.33	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $1,412.54	Professional		$64.57	$70.79	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $3,548.13	Facility		$1,000.00	$2,187.76	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $245.47	Professional		$102.33	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $134.90 / $446.68	Facility		$67.61	$134.90	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $91.20	Professional		$66.07	$66.07	$91.20