Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.90 / $229.90 / $229.90	Facility		$229.90	$229.90	$229.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $276.42 / $1,701.79	Professional		$229.90	$276.42	$1,701.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $995.85 / $3,198.79 / $5,976.10	Facility		$995.85	$3,198.79	$5,976.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.89 / $374.53 / $446.26	Professional		$280.89	$374.53	$446.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $345.03	Facility		$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $345.03 / $345.03	Professional		$251.87	$345.03	$345.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $549.43 / $686.79 / $1,030.18	Professional		$549.43	$686.79	$1,030.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $142.47 / $352.34	Facility		$142.47	$142.47	$352.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $345.03 / $549.42	Professional		$251.87	$345.03	$549.42
United Facility/Professional Professional Modifier Low / Median / High Price $200.39 / $220.69 / $332.44	Professional		$200.39	$220.69	$332.44