Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.03 / $403.03 / $403.03	Facility		$403.03	$403.03	$403.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $261.10 / $355.19	Professional		$258.64	$261.10	$355.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.35 / $620.28 / $1,032.21	Facility		$249.35	$620.28	$1,032.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $411.55	Professional		$213.80	$213.80	$411.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $258.64 / $311.16	Facility		$248.93	$258.64	$311.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Professional		$258.64	$258.64	$258.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $256.39 / $405.76	Professional		$248.93	$256.39	$405.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.34 / $258.64 / $328.47	Facility		$210.34	$258.64	$328.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $311.16	Professional		$258.64	$258.64	$311.16
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $274.16	Professional		$258.64	$258.64	$274.16