Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $53.00 / $105.99	Facility		$26.50	$53.00	$105.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $42.40 / $227.17	Professional		$26.50	$42.40	$227.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $221.59 / $380.01	Facility		$63.60	$221.59	$380.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $28.90 / $33.21	Professional		$21.67	$28.90	$33.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $22.96 / $22.96	Facility		$22.96	$22.96	$22.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $40.47 / $66.59	Professional		$22.28	$40.47	$66.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $19.43 / $19.43	Professional		$19.43	$19.43	$19.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $42.40 / $69.12	Facility		$22.96	$42.40	$69.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $66.59	Professional		$35.33	$35.33	$66.59
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $21.02 / $21.67	Professional		$14.84	$21.02	$21.67