Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $316.23	Professional		$138.04	$173.78	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $316.23	Professional		$208.93	$281.84	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $446.68	Professional		$138.04	$138.04	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $524.81	Professional		$281.84	$354.81	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $257.04 / $398.11	Facility		$97.72	$257.04	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $426.58	Professional		$138.04	$138.04	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $407.38	Facility		$114.82	$165.96	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $223.87	Professional		$134.90	$151.36	$223.87