Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $54.72 / $112.80	Facility		$51.68	$54.72	$112.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $18.51 / $29.15	Professional		$17.79	$18.51	$29.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $140.65 / $228.36	Facility		$38.22	$140.65	$228.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $17.37 / $19.96	Professional		$13.03	$17.37	$19.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $24.37 / $39.96	Professional		$13.40	$24.37	$39.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $11.68 / $11.68	Professional		$11.68	$11.68	$11.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $25.48 / $41.54	Facility		$18.91	$25.48	$41.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $39.96	Professional		$21.23	$21.23	$39.96
United Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $19.11 / $19.11	Facility		$19.11	$19.11	$19.11
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.55 / $13.02	Professional		$8.92	$12.55	$13.02