Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.70 / $99.70 / $99.70	Facility		$99.70	$99.70	$99.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $112.90 / $358.00	Professional		$99.70	$112.90	$358.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.87 / $1,387.22 / $2,591.65	Facility		$431.87	$1,387.22	$2,591.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $162.41 / $193.53	Professional		$121.82	$162.41	$193.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.07 / $127.07 / $127.07	Facility		$127.07	$127.07	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $248.44	Professional		$92.76	$92.76	$248.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.27 / $297.83 / $446.76	Professional		$238.27	$297.83	$446.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.07 / $132.06 / $132.06	Facility		$127.07	$132.06	$132.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $127.07 / $232.82	Professional		$92.76	$127.07	$232.82
United Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $89.95 / $141.12	Professional		$84.67	$89.95	$141.12