Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.61 / $265.08 / $333.64	Facility		$96.61	$265.08	$333.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $75.23 / $414.16	Professional		$48.31	$75.23	$414.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.94 / $426.64 / $692.71	Facility		$115.94	$426.64	$692.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $52.69 / $60.55	Professional		$34.25	$52.69	$60.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $41.87 / $41.87	Facility		$41.87	$41.87	$41.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $73.93 / $120.85	Professional		$40.51	$73.93	$120.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $35.43 / $35.43	Professional		$35.43	$35.43	$35.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $77.29 / $125.99	Facility		$57.37	$77.29	$125.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $120.85	Professional		$64.41	$64.41	$120.85
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.32 / $39.50	Professional		$27.05	$38.32	$39.50