Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.17 / $869.17 / $869.17	Facility		$869.17	$869.17	$869.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.19 / $1,186.48 / $4,479.49	Professional		$829.19	$1,186.48	$4,479.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.97 / $1,258.61 / $1,499.66	Professional		$943.97	$1,258.61	$1,499.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,105.99	Facility		$1,105.99	$1,105.99	$1,105.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $1,105.99 / $1,105.99	Professional		$807.37	$1,105.99	$1,105.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,260.46 / $1,575.58 / $2,363.37	Professional		$1,260.46	$1,575.58	$2,363.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.65 / $444.65 / $1,184.04	Facility		$444.65	$444.65	$1,184.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $1,105.99 / $1,846.38	Professional		$807.37	$1,105.99	$1,846.38
United Facility/Professional Professional Modifier Low / Median / High Price $636.82 / $688.77 / $1,037.53	Professional		$636.82	$688.77	$1,037.53