Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.57 / $116.57 / $116.57	Facility		$116.57	$116.57	$116.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $101.84 / $116.57	Professional		$101.84	$101.84	$116.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.98 / $651.29 / $1,057.49	Facility		$176.98	$651.29	$1,057.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $120.17 / $120.17	Professional		$120.17	$120.17	$120.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $7.07 / $108.39	Facility		$4.62	$7.07	$108.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $122.70	Professional		$122.70	$122.70	$122.70