Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.51 / $117.51 / $117.51	Facility		$117.51	$117.51	$117.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $160.41 / $606.35	Professional		$105.46	$160.41	$606.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.63 / $170.17 / $202.76	Professional		$127.63	$170.17	$202.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $113.00	Facility		$113.00	$113.00	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $113.00 / $113.00	Professional		$82.49	$113.00	$113.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.41 / $213.02 / $319.52	Professional		$170.41	$213.02	$319.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $160.09	Facility		$56.56	$56.56	$160.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $113.00 / $206.14	Professional		$82.49	$113.00	$206.14
United Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $87.61 / $131.99	Professional		$81.00	$87.61	$131.99