Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.04 / $451.04 / $451.04	Facility		$451.04	$451.04	$451.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.04 / $692.66 / $3,483.15	Professional		$451.04	$692.66	$3,483.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.16 / $581.54 / $829.10	Professional		$436.16	$581.54	$829.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.68 / $758.68 / $758.68	Facility		$758.68	$758.68	$758.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $758.68 / $758.68	Professional		$553.84	$758.68	$758.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $853.12 / $1,066.41 / $1,599.61	Professional		$853.12	$1,066.41	$1,599.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.06 / $249.06 / $758.68	Facility		$249.06	$249.06	$758.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $513.33 / $758.68 / $938.56	Professional		$513.33	$758.68	$938.56
United Facility/Professional Professional Modifier Low / Median / High Price $519.01 / $551.38 / $865.02	Professional		$519.01	$551.38	$865.02