Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $56.53 / $56.53	Facility		$56.53	$56.53	$56.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.64 / $49.82	Professional		$36.28	$36.64	$49.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $189.09 / $317.63	Facility		$76.73	$189.09	$317.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $52.59	Professional		$32.54	$32.54	$52.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $36.28 / $44.30	Facility		$35.79	$36.28	$44.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $36.28	Professional		$36.28	$36.28	$36.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $47.84 / $62.02	Professional		$35.44	$47.84	$62.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $36.28 / $46.07	Facility		$36.28	$36.28	$46.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $44.30	Professional		$36.28	$36.28	$44.30
United Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $38.46	Professional		$36.28	$36.28	$38.46