Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $60.60 / $151.19	Facility		$15.15	$60.60	$151.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $24.24 / $129.88	Professional		$15.15	$24.24	$129.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $133.80 / $217.25	Facility		$36.36	$133.80	$217.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $16.52 / $18.98	Professional		$12.39	$16.52	$18.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $13.13 / $13.13	Facility		$13.13	$13.13	$13.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $23.13 / $37.97	Professional		$12.78	$23.13	$37.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $11.11	Professional		$11.11	$11.11	$11.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $24.24 / $35.86	Facility		$13.13	$24.24	$35.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $20.20 / $37.97	Professional		$19.48	$20.20	$37.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $12.12 / $12.39	Professional		$8.48	$12.12	$12.39