Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $34.00 / $34.00	Facility		$21.98	$34.00	$34.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $19.98 / $35.81	Professional		$18.67	$19.98	$35.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $167.11 / $300.00	Facility		$46.98	$167.11	$300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $24.62 / $24.62	Professional		$18.47	$24.62	$24.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Facility		$20.65	$20.65	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $31.89 / $31.89	Professional		$31.89	$31.89	$31.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $20.65 / $20.65	Facility		$18.44	$20.65	$20.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $21.98 / $25.06	Professional		$21.98	$21.98	$25.06