Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $66.45 / $237.12	Facility		$47.12	$66.45	$237.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $22.62 / $43.72	Professional		$16.67	$22.62	$43.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $127.93 / $208.47	Facility		$34.89	$127.93	$208.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $15.85 / $18.23	Professional		$11.89	$15.85	$18.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Facility		$12.60	$12.60	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $22.30 / $36.50	Professional		$12.15	$22.30	$36.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $10.66 / $10.66	Professional		$10.66	$10.66	$10.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $23.26 / $37.90	Facility		$17.26	$23.26	$37.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $36.50	Professional		$19.38	$19.38	$36.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $11.53 / $12.98	Professional		$8.14	$11.53	$12.98