Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $43.32 / $43.32	Facility		$43.32	$43.32	$43.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $32.03 / $171.62	Professional		$19.29	$32.03	$171.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.05 / $167.40 / $287.07	Facility		$48.05	$167.40	$287.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $21.83 / $25.09	Professional		$16.37	$21.83	$25.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $17.35 / $17.35	Facility		$17.35	$17.35	$17.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $30.98 / $38.72	Professional		$11.22	$30.98	$38.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $25.36 / $34.85	Facility		$15.87	$25.36	$34.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $26.69 / $33.54	Professional		$18.92	$26.69	$33.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.92 / $17.88	Professional		$10.29	$10.92	$17.88