Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $26.24 / $52.47	Facility		$13.12	$26.24	$52.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $20.99 / $112.46	Professional		$13.12	$20.99	$112.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $91.41 / $156.75	Facility		$26.23	$91.41	$156.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $11.37 / $11.37	Facility		$11.37	$11.37	$11.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $17.76 / $25.30	Professional		$6.08	$17.76	$25.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $9.61	Professional		$9.61	$9.61	$9.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $16.62 / $19.23	Facility		$8.52	$16.62	$19.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $17.48 / $17.76	Professional		$10.17	$17.48	$17.76
United Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $5.87 / $10.49	Professional		$5.53	$5.87	$10.49