Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.49 / $146.49 / $146.49	Facility		$146.49	$146.49	$146.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.97 / $199.97 / $813.26	Professional		$126.97	$199.97	$813.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.09 / $212.12 / $252.75	Professional		$159.09	$212.12	$252.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $166.47 / $166.47	Professional		$121.52	$166.47	$166.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.43 / $265.54 / $398.31	Professional		$212.43	$265.54	$398.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $68.09 / $199.56	Facility		$68.09	$68.09	$199.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $166.47 / $265.77	Professional		$121.52	$166.47	$265.77
United Facility/Professional Professional Modifier Low / Median / High Price $97.51 / $105.47 / $161.38	Professional		$97.51	$105.47	$161.38