Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $192.70 / $192.70	Facility		$51.42	$192.70	$192.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.96 / $20.57	Professional		$16.55	$16.96	$20.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $107.50 / $184.36	Facility		$30.86	$107.50	$184.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $14.02 / $16.12	Professional		$10.52	$14.02	$16.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $11.14 / $11.14	Facility		$11.14	$11.14	$11.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $20.72 / $30.87	Professional		$8.73	$20.72	$30.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $20.57 / $20.57	Professional		$9.43	$20.57	$20.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $16.28 / $20.57	Facility		$13.12	$16.28	$20.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $17.14 / $27.62	Professional		$16.36	$17.14	$27.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $8.38 / $11.48	Professional		$7.20	$8.38	$11.48