Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $614.04 / $614.04	Facility		$392.09	$614.04	$614.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $396.00 / $918.00	Professional		$392.08	$396.00	$918.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.22 / $1,527.84 / $2,636.32	Facility		$441.22	$1,527.84	$2,636.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.70 / $391.70 / $464.47	Professional		$391.70	$391.70	$464.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $392.09 / $401.08	Facility		$392.09	$392.09	$401.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $401.08	Professional		$392.09	$392.09	$401.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $394.41 / $410.03 / $615.04	Professional		$394.41	$410.03	$615.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.60 / $392.09 / $411.69	Facility		$122.60	$392.09	$411.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $401.08	Professional		$392.09	$392.09	$401.08
United Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $392.09	Professional		$392.09	$392.09	$392.09