Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.75 / $324.52 / $1,497.02	Facility		$82.75	$324.52	$1,497.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $58.97 / $182.00	Professional		$53.07	$58.97	$182.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.16 / $294.99 / $478.96	Facility		$80.16	$294.99	$478.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $71.66	Professional		$53.08	$53.08	$71.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Facility		$45.90	$45.90	$45.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Professional		$45.90	$45.90	$45.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $54.43 / $54.43	Professional		$54.43	$54.43	$54.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $46.86 / $68.31	Facility		$44.39	$46.86	$68.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Professional		$45.90	$45.90	$45.90
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08