Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $105.27 / $111.18	Facility		$52.64	$105.27	$111.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $41.97 / $46.17	Professional		$40.99	$41.97	$46.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.16 / $224.68 / $377.41	Facility		$63.16	$224.68	$377.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $28.70 / $32.97	Professional		$21.53	$28.70	$32.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $22.81 / $22.81	Facility		$22.81	$22.81	$22.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $57.59 / $87.22	Professional		$31.32	$57.59	$87.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $57.20 / $57.20	Professional		$54.39	$57.20	$57.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $54.60 / $68.66	Facility		$22.81	$54.60	$68.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $46.49 / $74.65	Professional		$40.35	$46.49	$74.65
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.60 / $21.53	Professional		$14.74	$20.60	$21.53