Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $31.27 / $34.69	Professional		$27.84	$31.27	$34.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.83 / $860.19 / $1,444.93	Facility		$241.83	$860.19	$1,444.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $28.15 / $42.48	Professional		$20.54	$28.15	$42.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $35.79	Facility		$35.79	$35.79	$35.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $39.22 / $149.66	Professional		$39.22	$39.22	$149.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $46.10	Professional		$32.34	$32.34	$46.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $30.10 / $45.08	Facility		$24.04	$30.10	$45.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $64.58 / $83.74	Professional		$39.79	$64.58	$83.74
United Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $39.68 / $59.26	Professional		$29.50	$39.68	$59.26