Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $58.66 / $117.33	Facility		$29.33	$58.66	$117.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $46.93 / $251.48	Professional		$29.33	$46.93	$251.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $31.99 / $36.76	Professional		$19.46	$31.99	$36.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $25.42 / $25.42	Facility		$25.42	$25.42	$25.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $45.02 / $56.27	Professional		$16.05	$45.02	$56.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $21.51 / $21.51	Professional		$21.51	$21.51	$21.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $37.15 / $49.83	Facility		$22.68	$37.15	$49.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $39.11 / $47.85	Professional		$27.06	$39.11	$47.85
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $15.62 / $23.47	Professional		$14.70	$15.62	$23.47