Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $40.74	Professional		$21.88	$33.11	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $426.58 / $724.44	Facility		$204.17	$426.58	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $47.86	Professional		$36.31	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $75.86	Professional		$30.90	$30.90	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $173.78	Professional		$81.28	$93.33	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $54.95 / $102.33	Facility		$27.54	$54.95	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $66.07	Professional		$30.90	$30.90	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.70 / $38.90	Professional		$23.44	$25.70	$38.90