Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $165.96 / $169.82	Facility		$75.86	$165.96	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $338.84	Professional		$34.67	$48.98	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $281.84 / $457.09	Facility		$109.65	$281.84	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $57.54	Professional		$45.71	$45.71	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $109.65	Professional		$79.43	$79.43	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $66.07 / $151.36	Facility		$33.88	$66.07	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $74.13	Professional		$45.71	$67.61	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $30.90	Professional		$21.38	$21.38	$30.90