Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.09 / $212.09 / $212.09	Facility		$212.09	$212.09	$212.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $107.40 / $164.61	Professional		$106.33	$107.40	$164.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.51 / $916.60 / $2,056.92	Facility		$359.51	$916.60	$2,056.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $141.16 / $160.43	Professional		$141.16	$141.16	$160.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $106.33 / $354.88	Facility		$106.33	$106.33	$354.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Professional		$106.33	$106.33	$106.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $224.16 / $290.58	Professional		$166.05	$224.16	$290.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $106.33 / $344.00	Facility		$106.33	$106.33	$344.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $188.48	Professional		$106.33	$106.33	$188.48
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $112.71	Professional		$106.33	$106.33	$112.71