Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $22.80 / $42.79	Facility		$22.80	$22.80	$42.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $22.80 / $34.22	Professional		$18.85	$22.80	$34.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.26 / $397.40 / $681.51	Facility		$110.26	$397.40	$681.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $20.69 / $20.69	Facility		$20.69	$20.69	$20.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $26.85 / $33.56	Professional		$9.97	$26.85	$33.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.98 / $34.22	Facility		$15.14	$17.98	$34.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $19.77 / $37.03	Professional		$9.97	$19.77	$37.03
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $9.27 / $19.70	Professional		$8.48	$9.27	$19.70