Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $676.08	Professional		$302.00	$398.11	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $630.96	Professional		$398.11	$537.03	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $1,174.90	Professional		$309.03	$309.03	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,000.00	Professional		$537.03	$676.08	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $501.19 / $870.96	Facility		$213.80	$501.19	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $891.25	Professional		$309.03	$309.03	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $501.19 / $912.01	Facility		$257.04	$501.19	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $501.19	Professional		$309.03	$380.19	$501.19