Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $36.64 / $36.64	Facility		$36.64	$36.64	$36.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.46 / $34.60	Professional		$25.20	$25.46	$34.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $178.43 / $290.74	Facility		$70.23	$178.43	$290.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $26.38 / $37.40	Professional		$26.38	$26.38	$37.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $85.00	Facility		$25.20	$25.20	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Professional		$25.20	$25.20	$25.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $30.37 / $41.41	Professional		$27.61	$30.37	$41.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $35.29 / $133.07	Facility		$25.20	$35.29	$133.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $32.36	Professional		$25.20	$25.20	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $26.71	Professional		$25.20	$25.20	$26.71