Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.99 / $45.71	Facility		$16.98	$23.99	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $42.66	Professional		$15.14	$15.85	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $79.43 / $128.82	Facility		$35.48	$79.43	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $20.89	Professional		$15.49	$15.49	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $30.20	Facility		$15.14	$15.14	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49