Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $48.98 / $67.61	Facility		$24.55	$48.98	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $23.99	Professional		$14.13	$17.78	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $134.90 / $218.78	Facility		$52.48	$134.90	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.60 / $19.05	Professional		$12.59	$16.60	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.44 / $38.02	Professional		$12.88	$23.44	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $24.55 / $35.48	Facility		$18.20	$24.55	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $30.90 / $51.29	Professional		$12.88	$30.90	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $18.20	Facility		$15.14	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $12.59	Professional		$8.51	$12.02	$12.59