Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $43.32 / $84.36	Facility		$43.32	$43.32	$84.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $28.91 / $35.08	Professional		$20.88	$28.91	$35.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.37 / $154.25 / $259.11	Facility		$43.37	$154.25	$259.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $19.71 / $22.64	Professional		$13.79	$19.71	$22.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $15.66 / $15.66	Facility		$15.66	$15.66	$15.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $27.67 / $34.59	Professional		$11.38	$27.67	$34.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $25.23 / $35.32	Facility		$16.07	$25.23	$35.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $24.09 / $34.04	Professional		$19.18	$24.09	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.86 / $14.45	Professional		$10.11	$10.86	$14.45