Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $86.49 / $86.49	Facility		$54.71	$86.49	$86.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $69.48 / $164.56	Professional		$54.71	$69.48	$164.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.86 / $336.83 / $548.86	Facility		$91.86	$336.83	$548.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $55.31 / $88.33	Professional		$55.31	$55.31	$88.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Facility		$54.71	$54.71	$54.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $62.37 / $62.37	Professional		$62.37	$62.37	$62.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $61.24 / $69.26	Facility		$54.71	$61.24	$69.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71