Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $109.59 / $109.59	Facility		$27.40	$109.59	$109.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $234.89 / $234.89	Professional		$27.40	$234.89	$234.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $190.91 / $327.39	Facility		$54.80	$190.91	$327.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $23.74 / $23.74	Facility		$23.74	$23.74	$23.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $42.13 / $52.66	Professional		$16.82	$42.13	$52.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $20.09 / $20.09	Professional		$20.09	$20.09	$20.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $34.70 / $43.84	Facility		$24.88	$34.70	$43.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $36.53 / $41.07	Professional		$20.21	$36.53	$41.07
United Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $16.11 / $21.92	Professional		$15.34	$16.11	$21.92