Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $36.76 / $73.53	Facility		$18.38	$36.76	$73.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $29.41 / $157.60	Professional		$18.38	$29.41	$157.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.12 / $162.34 / $263.58	Facility		$44.12	$162.34	$263.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $20.05 / $23.04	Professional		$13.03	$20.05	$23.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $15.93 / $15.93	Facility		$15.93	$15.93	$15.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $28.08 / $45.88	Professional		$15.43	$28.08	$45.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $13.48 / $13.48	Professional		$13.48	$13.48	$13.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $29.41 / $47.92	Facility		$21.82	$29.41	$47.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $24.51 / $45.88	Professional		$24.51	$24.51	$45.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $14.71 / $16.42	Professional		$10.29	$14.71	$16.42