Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $29.34 / $58.68	Facility		$14.67	$29.34	$58.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $23.47 / $125.77	Professional		$14.67	$23.47	$125.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $129.55 / $210.35	Facility		$35.20	$129.55	$210.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $16.00 / $18.39	Professional		$12.00	$16.00	$18.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $12.71 / $12.71	Facility		$12.71	$12.71	$12.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $22.30 / $36.50	Professional		$12.31	$22.30	$36.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Professional		$10.76	$10.76	$10.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $23.47 / $38.25	Facility		$17.42	$23.47	$38.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $19.55 / $36.50	Professional		$19.55	$19.55	$36.50
United Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $17.60 / $17.60	Facility		$17.60	$17.60	$17.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.63 / $11.99	Professional		$8.22	$11.63	$11.99