Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $120.70 / $155.04	Facility		$45.60	$120.70	$155.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $22.69 / $26.03	Professional		$16.86	$22.69	$26.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $125.58 / $203.90	Facility		$34.13	$125.58	$203.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $15.51 / $17.84	Professional		$11.63	$15.51	$17.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Facility		$12.32	$12.32	$12.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $21.89 / $35.52	Professional		$12.00	$21.89	$35.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.43 / $10.43	Professional		$10.43	$10.43	$10.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $22.75 / $37.11	Facility		$16.89	$22.75	$37.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $18.96 / $35.52	Professional		$18.96	$18.96	$35.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $11.38 / $11.63	Professional		$7.96	$11.38	$11.63