Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.58 / $186.58 / $186.58	Facility		$186.58	$186.58	$186.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $223.36 / $500.00	Professional		$186.58	$223.36	$500.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.22 / $2,596.10 / $4,850.13	Facility		$808.22	$2,596.10	$4,850.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.97 / $303.95 / $362.17	Professional		$227.97	$303.95	$362.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $211.27	Facility		$211.27	$211.27	$211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $211.27 / $211.27	Professional		$154.22	$211.27	$211.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $445.91 / $557.39 / $836.08	Professional		$445.91	$557.39	$836.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $108.90 / $285.95	Facility		$108.90	$108.90	$285.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $211.27 / $432.90	Professional		$154.22	$211.27	$432.90
United Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $168.68 / $254.09	Professional		$153.16	$168.68	$254.09