Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.39 / $310.39 / $310.39	Facility		$310.39	$310.39	$310.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $423.72 / $1,576.00	Professional		$300.27	$423.72	$1,576.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.10 / $449.47 / $535.55	Professional		$337.10	$449.47	$535.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $362.03	Facility		$362.03	$362.03	$362.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $362.03 / $362.03	Professional		$264.27	$362.03	$362.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $450.13 / $562.66 / $844.00	Professional		$450.13	$562.66	$844.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.02 / $161.02 / $422.85	Facility		$161.02	$161.02	$422.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $362.03 / $640.12	Professional		$264.27	$362.03	$640.12
United Facility/Professional Professional Modifier Low / Median / High Price $230.62 / $249.43 / $381.69	Professional		$230.62	$249.43	$381.69