Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.26 / $369.26 / $369.26	Facility		$369.26	$369.26	$369.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $282.27 / $483.02	Professional		$282.27	$282.27	$483.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.20 / $854.33 / $1,465.10	Facility		$245.20	$854.33	$1,465.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $153.77 / $183.82	Professional		$153.77	$153.77	$183.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Facility		$289.08	$289.08	$289.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.49 / $166.49 / $166.49	Professional		$166.49	$166.49	$166.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.88 / $138.29 / $289.08	Facility		$111.88	$138.29	$289.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $283.42	Professional		$283.42	$283.42	$283.42