Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $18.76 / $31.25	Facility		$18.76	$18.76	$31.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $34.35 / $56.21	Professional		$18.76	$34.35	$56.21
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 $16.01 / $26.69 / $52.48	Professional		$16.01	$26.69	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $55.73 / $85.45	Professional		$28.77	$55.73	$85.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $32.34 / $41.27	Professional		$8.25	$32.34	$41.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $42.21 / $73.98	Facility		$18.87	$42.21	$73.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $55.73 / $79.20	Professional		$28.77	$55.73	$79.20
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $59.35 / $88.81	Professional		$39.15	$59.35	$88.81