Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.60 / $86.64 / $113.74	Facility		$83.60	$86.64	$113.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $32.65 / $162.00	Professional		$30.98	$32.65	$162.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $180.28 / $292.72	Facility		$48.99	$180.28	$292.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $22.27 / $25.59	Professional		$16.70	$22.27	$25.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $17.69 / $17.69	Facility		$17.69	$17.69	$17.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $31.39 / $50.31	Professional		$16.82	$31.39	$50.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $14.97 / $14.97	Professional		$14.97	$14.97	$14.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $25.86 / $32.65	Facility		$17.26	$25.86	$32.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $28.45 / $41.07	Professional		$27.22	$28.45	$41.07
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $11.66 / $16.32	Professional		$11.43	$11.66	$16.32