Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Facility		$14.82	$14.82	$14.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.95 / $14.82	Professional		$12.48	$12.95	$14.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $50.00 / $85.00	Professional		$22.46	$50.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $13.26 / $15.60	Facility		$12.48	$13.26	$15.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $16.25	Professional		$13.26	$13.26	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00