Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $142.12 / $222.99	Facility		$111.50	$142.12	$222.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $89.20 / $477.94	Professional		$55.75	$89.20	$477.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.80 / $492.38 / $799.46	Facility		$133.80	$492.38	$799.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $60.80 / $69.87	Professional		$45.60	$60.80	$69.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $48.31 / $48.31	Facility		$48.31	$48.31	$48.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $66.67 / $91.75	Professional		$66.67	$66.67	$91.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.21 / $121.16 / $121.16	Professional		$115.21	$121.16	$121.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $100.00 / $113.16	Facility		$48.31	$100.00	$113.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $94.03 / $104.71	Professional		$85.48	$94.03	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $41.69 / $44.60	Professional		$31.22	$41.69	$44.60