Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $50.16 / $183.60	Facility		$50.16	$50.16	$183.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $24.89 / $53.10	Professional		$18.55	$24.89	$53.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $137.83 / $223.79	Facility		$37.45	$137.83	$223.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $17.02 / $19.55	Professional		$12.77	$17.02	$19.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $13.53 / $13.53	Facility		$13.53	$13.53	$13.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $23.95 / $38.97	Professional		$13.09	$23.95	$38.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $11.45 / $11.45	Professional		$11.45	$11.45	$11.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $24.97 / $40.70	Facility		$18.54	$24.97	$40.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $38.97	Professional		$20.81	$20.81	$38.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.38 / $12.76	Professional		$8.74	$12.38	$12.76