Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $21.95 / $21.95	Facility		$21.95	$21.95	$21.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $18.17	Professional		$14.31	$14.31	$18.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $69.63 / $113.47	Facility		$27.41	$69.63	$113.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $22.41	Professional		$13.15	$13.15	$22.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $14.31 / $17.46	Facility		$13.96	$14.31	$17.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $14.31	Professional		$14.31	$14.31	$14.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $18.85 / $24.44	Professional		$13.97	$18.85	$24.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $14.31 / $18.17	Facility		$14.31	$14.31	$18.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $17.46	Professional		$14.31	$14.31	$17.46
United Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $15.17	Professional		$14.31	$14.31	$15.17