Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $30.63 / $61.26	Facility		$15.32	$30.63	$61.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $24.50 / $131.30	Professional		$15.32	$24.50	$131.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $135.24 / $219.58	Facility		$36.75	$135.24	$219.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $16.70 / $19.19	Professional		$12.52	$16.70	$19.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $13.27 / $13.27	Facility		$13.27	$13.27	$13.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $23.54 / $38.47	Professional		$12.78	$23.54	$38.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $11.23	Professional		$11.23	$11.23	$11.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $24.50 / $39.94	Facility		$18.18	$24.50	$39.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $38.47	Professional		$20.42	$20.42	$38.47
United Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $15.08 / $15.08	Facility		$13.68	$15.08	$15.08
United Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $12.07 / $12.52	Professional		$8.58	$12.07	$12.52