Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.64 / $200.64 / $428.64	Facility		$200.64	$200.64	$428.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $15.47 / $85.13	Professional		$9.93	$15.47	$85.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $84.78 / $142.41	Facility		$23.84	$84.78	$142.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.83 / $12.45	Professional		$8.11	$10.83	$12.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.61 / $8.61	Facility		$8.61	$8.61	$8.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $15.28 / $24.66	Professional		$8.26	$15.28	$24.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $7.28	Professional		$7.28	$7.28	$7.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $15.89 / $25.91	Facility		$11.80	$15.89	$25.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $24.66	Professional		$13.24	$13.24	$24.66
United Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $16.23 / $22.51	Facility		$11.11	$16.23	$22.51
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $7.83 / $8.11	Professional		$5.56	$7.83	$8.11