Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $125.89 / $281.84	Facility		$89.13	$125.89	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $125.89	Professional		$81.28	$81.28	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $891.25 / $1,513.56	Facility		$416.87	$891.25	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $162.18	Professional		$89.13	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $169.82 / $208.93	Facility		$81.28	$169.82	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $251.19	Professional		$169.82	$177.83	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $346.74	Facility		$81.28	$97.72	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $218.78	Professional		$208.93	$218.78	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $87.10	Professional		$58.88	$81.28	$87.10