Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.60 / $721.60 / $721.60	Facility		$721.60	$721.60	$721.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.60 / $789.42 / $1,400.00	Professional		$721.60	$789.42	$1,400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,133.81 / $7,233.12 / $12,805.04	Facility		$2,133.81	$7,233.12	$12,805.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.66 / $1,175.55 / $1,400.68	Professional		$881.66	$1,175.55	$1,400.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $906.54 / $906.54	Professional		$661.77	$906.54	$906.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,177.27 / $1,471.59 / $2,207.38	Professional		$1,177.27	$1,471.59	$2,207.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.89 / $406.89 / $1,105.91	Facility		$406.89	$406.89	$1,105.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $906.54 / $1,548.94	Professional		$661.77	$906.54	$1,548.94
United Facility/Professional Professional Modifier Low / Median / High Price $572.27 / $630.26 / $949.40	Professional		$572.27	$630.26	$949.40