Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $23.15	Facility		$23.15	$23.15	$23.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $20.92 / $23.15	Professional		$9.35	$20.92	$23.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $159.55 / $277.23	Facility		$68.98	$159.55	$277.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $19.09 / $30.32	Professional		$19.09	$19.09	$30.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $35.04 / $51.93	Professional		$31.86	$35.04	$51.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $25.07 / $27.50	Facility		$19.37	$25.07	$27.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $38.22	Professional		$16.27	$16.27	$38.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $13.51 / $20.34	Professional		$12.49	$13.51	$20.34