Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $20.23 / $30.29	Facility		$20.23	$20.23	$30.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $32.70 / $54.43	Professional		$20.23	$32.70	$54.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $288.97 / $469.19	Facility		$78.53	$288.97	$469.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $28.39 / $53.73	Professional		$16.43	$28.39	$53.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $52.52 / $81.81	Professional		$29.63	$52.52	$81.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $32.34 / $42.55	Professional		$8.51	$32.34	$42.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.43 / $36.52 / $70.95	Facility		$19.43	$36.52	$70.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $52.52 / $79.20	Professional		$29.65	$52.52	$79.20
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,327.00	Facility		$230.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $57.34 / $87.84	Professional		$39.60	$57.34	$87.84