Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $43.32 / $105.40	Facility		$26.75	$43.32	$105.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $20.82 / $24.48	Professional		$14.94	$20.82	$24.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $118.13 / $191.80	Facility		$32.10	$118.13	$191.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $15.78 / $21.41	Professional		$10.94	$15.78	$21.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Facility		$11.59	$11.59	$11.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $21.48 / $48.99	Professional		$17.77	$21.48	$48.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $9.81 / $9.81	Professional		$9.81	$9.81	$9.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $21.54 / $34.89	Facility		$16.94	$21.54	$34.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $17.82 / $48.99	Professional		$17.77	$17.82	$48.99
United Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $17.82 / $17.82	Facility		$17.82	$17.82	$17.82
United Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $10.61 / $10.94	Professional		$7.49	$10.61	$10.94