Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $102.33 / $229.09	Facility		$72.44	$102.33	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $91.20	Professional		$64.57	$66.07	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $218.78 / $354.81	Facility		$100.00	$218.78	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $95.50	Professional		$60.26	$60.26	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $97.72	Facility		$66.07	$66.07	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $95.50	Professional		$60.26	$67.61	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $67.61 / $109.65	Facility		$64.57	$67.61	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $79.43	Professional		$66.07	$66.07	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $69.18	Professional		$64.57	$66.07	$69.18