Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $74.52 / $74.52	Facility		$45.31	$74.52	$74.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.77 / $113.18	Professional		$45.31	$45.77	$113.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.81 / $214.85 / $351.42	Facility		$58.81	$214.85	$351.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $46.50 / $62.78	Professional		$46.50	$46.50	$62.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Facility		$45.31	$45.31	$45.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Professional		$45.31	$45.31	$45.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $39.93 / $39.93	Professional		$39.93	$39.93	$39.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $45.31 / $47.93	Facility		$35.09	$45.31	$47.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Professional		$45.31	$45.31	$45.31
United Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Professional		$45.31	$45.31	$45.31