Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.24 / $246.24 / $246.24	Facility		$246.24	$246.24	$246.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.24 / $378.16 / $1,931.85	Professional		$246.24	$378.16	$1,931.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.87 / $401.16 / $477.98	Professional		$300.87	$401.16	$477.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $313.79	Facility		$313.79	$313.79	$313.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $313.79 / $313.79	Professional		$229.07	$313.79	$313.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $401.74 / $502.18 / $753.27	Professional		$401.74	$502.18	$753.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.74 / $161.74 / $377.39	Facility		$161.74	$161.74	$377.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $313.79 / $669.00	Professional		$229.07	$313.79	$669.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $250.53 / $377.39	Professional		$227.48	$250.53	$377.39