Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $120.23 / $194.98	Facility		$69.18	$120.23	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $223.87	Professional		$28.18	$40.74	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $239.88 / $398.11	Facility		$97.72	$239.88	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $34.67	Professional		$22.91	$30.20	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $74.13	Professional		$33.11	$53.70	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $95.50	Professional		$57.54	$57.54	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $64.57 / $109.65	Facility		$25.12	$64.57	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $74.13	Professional		$33.11	$51.29	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $22.39	Professional		$15.49	$20.89	$22.39