Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $114.82 / $223.87	Facility		$104.71	$114.82	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $229.09	Professional		$23.99	$33.88	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $229.09 / $380.19	Facility		$104.71	$229.09	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $33.11	Professional		$21.38	$28.84	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $74.13	Professional		$31.62	$53.70	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $91.20	Professional		$54.95	$54.95	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $61.66 / $104.71	Facility		$27.54	$61.66	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $75.86	Professional		$31.62	$50.12	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $21.38	Professional		$14.79	$20.42	$21.38