Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $96.54 / $147.35	Facility		$74.56	$96.54	$147.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $98.15 / $117.79	Professional		$73.40	$98.15	$117.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $256.24 / $439.43	Facility		$73.55	$256.24	$439.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $93.14 / $115.75	Professional		$69.94	$93.14	$115.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $49.93 / $49.93	Professional		$49.93	$49.93	$49.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.21 / $30.92 / $96.58	Facility		$29.21	$30.92	$96.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $103.33 / $103.48	Professional		$97.44	$103.33	$103.48