Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $24.89 / $49.77	Facility		$12.44	$24.89	$49.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $19.91 / $106.67	Professional		$12.44	$19.91	$106.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.87 / $109.90 / $178.44	Facility		$29.87	$109.90	$178.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $13.57 / $15.59	Professional		$8.82	$13.57	$15.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Facility		$10.78	$10.78	$10.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $19.00 / $31.08	Professional		$10.44	$19.00	$31.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $9.11	Professional		$9.11	$9.11	$9.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $19.91 / $32.45	Facility		$14.78	$19.91	$32.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $16.59 / $31.08	Professional		$16.59	$16.59	$31.08
United Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $9.86 / $10.18	Professional		$6.97	$9.86	$10.18