Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.87 / $377.87 / $377.87	Facility		$377.87	$377.87	$377.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.87 / $580.29 / $2,771.38	Professional		$377.87	$580.29	$2,771.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,117.36 / $3,787.66 / $6,705.38	Facility		$1,117.36	$3,787.66	$6,705.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.69 / $615.58 / $733.47	Professional		$461.69	$615.58	$733.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $454.00	Facility		$454.00	$454.00	$454.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $454.00 / $454.00	Professional		$331.42	$454.00	$454.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.48 / $770.60 / $1,155.90	Professional		$616.48	$770.60	$1,155.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $579.12	Facility		$234.00	$234.00	$579.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $454.00 / $903.05	Professional		$331.42	$454.00	$903.05
United Facility/Professional Professional Modifier Low / Median / High Price $329.12 / $362.47 / $546.01	Professional		$329.12	$362.47	$546.01