Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $53.70 / $72.44	Facility		$26.30	$53.70	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.05 / $25.70	Professional		$14.45	$19.05	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $144.54 / $234.42	Facility		$57.54	$144.54	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $20.89	Professional		$13.49	$17.78	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.12 / $41.69	Professional		$13.80	$25.12	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $26.30 / $38.02	Facility		$19.50	$26.30	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $33.88 / $54.95	Professional		$13.80	$33.88	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $19.95	Facility		$16.22	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $13.49	Professional		$9.33	$12.88	$13.49