Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.77 / $47.77 / $47.77	Facility		$47.77	$47.77	$47.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $46.62 / $189.64	Professional		$18.00	$46.62	$189.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.62 / $448.48 / $837.87	Facility		$139.62	$448.48	$837.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $52.51 / $62.56	Professional		$39.38	$52.51	$62.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $39.47 / $46.45	Professional		$33.56	$39.47	$46.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $96.29 / $144.43	Professional		$77.03	$96.29	$144.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $49.40	Facility		$18.00	$18.00	$49.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $46.45 / $77.03	Professional		$33.56	$46.45	$77.03
United Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $27.87 / $41.99	Professional		$25.17	$27.87	$41.99