Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $35.65 / $35.65	Facility		$35.65	$35.65	$35.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $32.65 / $35.65	Professional		$22.41	$32.65	$35.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.01 / $404.79 / $703.34	Facility		$175.01	$404.79	$703.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $48.16 / $48.29	Professional		$36.22	$48.16	$48.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $33.90	Professional		$30.86	$30.86	$33.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $80.83 / $121.24	Professional		$80.83	$80.83	$121.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $45.43 / $54.52	Facility		$28.95	$45.43	$54.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $85.21	Professional		$30.86	$30.86	$85.21
United Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $25.63 / $38.61	Professional		$23.70	$25.63	$38.61