Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $95.50 / $97.72	Facility		$44.67	$95.50	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $69.18	Professional		$19.95	$27.54	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $208.93 / $323.59	Facility		$89.13	$208.93	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $28.18	Professional		$18.20	$24.55	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $34.67 / $56.23	Professional		$19.05	$34.67	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $35.48 / $48.98	Facility		$26.30	$35.48	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $45.71 / $74.13	Professional		$19.05	$45.71	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.92 / $26.92	Facility		$21.88	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $18.20	Professional		$12.59	$17.78	$18.20