Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $132.60 / $184.00	Facility		$27.88	$132.60	$184.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $20.92 / $25.51	Professional		$13.94	$20.92	$25.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $122.65 / $199.86	Facility		$33.45	$122.65	$199.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $15.20 / $17.48	Professional		$11.40	$15.20	$17.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $21.06 / $35.02	Professional		$11.69	$21.06	$35.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $10.22	Professional		$10.22	$10.22	$10.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $22.30 / $36.36	Facility		$16.55	$22.30	$36.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $18.57 / $35.02	Professional		$18.57	$18.57	$35.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $10.98 / $11.40	Professional		$7.80	$10.98	$11.40