Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $112.20 / $257.04	Facility		$109.65	$112.20	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $40.74	Professional		$18.20	$28.18	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $676.08 / $1,122.02	Facility		$186.21	$676.08	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $21.88	Professional		$16.22	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $27.54 / $39.81	Professional		$11.75	$27.54	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.42 / $32.36	Facility		$16.98	$20.42	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $32.36 / $40.74	Professional		$17.38	$32.36	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $338.84 / $741.31	Facility		$11.75	$338.84	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.47 / $23.44	Professional		$9.55	$10.47	$23.44